Individual
MRS. LORI BRAZELL WILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S., CCC-SLP
Contact information
Practice address
5150 STILESBORO RD NW STE 210, KENNESAW, GA 30152-7742
(404) 273-7478
Mailing address
1890 MACK DOBBS RD NW, KENNESAW, GA 30152-3266
(404) 863-6231
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007968
GA
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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