Individual
LAUREN REBECCA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2040 MISTY OAKS DR, BUFORD, GA 30519-8600
(770) 656-4370
Mailing address
2040 MISTY OAKS DR, BUFORD, GA 30519-8600
(770) 656-4370
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006801
GA
Other
Enumeration date
02/01/2010
Last updated
02/01/2010
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