Individual
LAUREN WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
3373 BARWICK RD, QUITMAN, GA 31643-4855
(229) 437-8028
Mailing address
3373 BARWICK RD, QUITMAN, GA 31643-4855
(229) 437-8028
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
PCET003501
GA
235Z00000X
Speech-Language Pathologist
Primary
SLP012785
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PCET-003501
GA LICENSE
GA
01
—
SLP012785
ASHA LICENSE
GA
Enumeration date
12/15/2021
Last updated
05/02/2024
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