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Individual

MRS. LORA KNOWLES RAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
299 BURTOM RD, EATONTON, GA 31024-7050
(770) 780-9244
Mailing address
299 BURTOM RD, EATONTON, GA 31024-7050
(770) 780-9244

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5069
GA

Other

Enumeration date
06/20/2011
Last updated
06/20/2011
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