Individual
LORI D. WETHERINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3443 CHASTAIN GLEN LN NE, MARIETTA, GA 30066-2594
(770) 592-6856
Mailing address
3443 CHASTAIN GLEN LN NE, MARIETTA, GA 30066-2594
(770) 592-6856
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005059
GA
Other
Enumeration date
10/14/2010
Last updated
10/14/2010
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