Individual
CATHERINE LISICIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2385 LAWRENCEVILLE HWY # HYWB, DECATUR, GA 30033-3168
(404) 289-4270
Mailing address
4 LISBON CT, SAVANNAH, GA 31406-7563
(912) 398-2756
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
012572
GA
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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