Individual
LAUREN WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
461 COOK ST, ROYSTON, GA 30662-4003
(706) 599-4968
Mailing address
3644 SEYMOUR RD, MARTIN, GA 30557-2971
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/07/2019
Last updated
11/07/2019
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