Individual
ERINN MICHELLE LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED., CCC-SLP
Contact information
Practice address
117 3RD ST E, TIFTON, GA 31794-4879
(229) 402-7188
Mailing address
1900 WESLEYAN DR APT 1314, MACON, GA 31210-8820
(478) 308-0079
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
009789
GA
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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