Individual
LACEY DENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1350 PENNSYLVANIA AVE, MCDONOUGH, GA 30253-9110
(844) 543-8437
Mailing address
709 CRESCENT CIR, CANTON, GA 30115-4772
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET002729
GA
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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