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Individual

DR. PRISCESSA LORINE COPELAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
EDD. CCC-SLP

Contact information

Practice address
406 ALACHUA ST, BYRON, GA 31008-3511
(803) 464-9824
(478) 333-3666
Mailing address
406 ALACHUA ST, BYRON, GA 31008-3511
(803) 464-9824
(478) 333-3666

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
7859
NC
235Z00000X
Speech-Language Pathologist
Primary
SLP008499
GA

Other

Enumeration date
03/30/2009
Last updated
02/04/2021
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