Individual
LAURA DENNISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-A
Contact information
Practice address
4145 LAWRENCEVILLE HWY., STE. 10A, LILBURN, GA 30044
(770) 717-5711
(770) 717-5612
Mailing address
4145 LAWRENCEVILLE HWY., STE. 10A, LILBURN, GA 30044
(770) 717-5711
(770) 717-5612
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1032
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00373029C
—
GA
05
—
00668533C
—
GA
Enumeration date
12/06/2006
Last updated
07/09/2007
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