Organization
LEAD TO LEARN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARILYNN L FARROW M.S., E.I.S. (PRESIDENT)
(770) 815-2746
Entity
Organization
Contact information
Practice address
1522 TIMBER TRCE, CANTON, GA 30114-8900
(770) 815-2746
(770) 592-6812
Mailing address
1522 TIMBER TRCE, CANTON, GA 30114-8900
(770) 815-2746
(770) 592-6812
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003130259A
—
GA
Enumeration date
02/04/2013
Last updated
02/04/2013
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