Individual
LISI WINTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2237 ALLAIRE LN NE, ATLANTA, GA 30345-3522
(404) 357-2299
Mailing address
2237 ALLAIRE LN NE, ATLANTA, GA 30345-3522
(404) 357-2299
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP003617
GA
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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