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Individual

MS. LAURA TOWNSEND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
2309 WATERS RUN, DECATUR, GA 30035-2529
(888) 273-8628
Mailing address
PO BOX 1723, DECATUR, GA 30031-1723
(888) 273-8628

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
003247
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000806374D
GA
05
00806374C
GA
Enumeration date
02/19/2007
Last updated
09/19/2010
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