Individual
LAUREN ELAINE FORTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED CCC-SLP
Contact information
Practice address
3105 CREEKSIDE VILLAGE DR NW STE 603604, KENNESAW, GA 30144-2394
(770) 974-2424
Mailing address
112 BRIDGEMILL AVE, MADISON, AL 35756-2619
(770) 846-3267
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4173
AL
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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