Individual
CAROL ANN RAYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 CARLTON ST, ATHENS, GA 30602-5004
(706) 542-4559
Mailing address
1111 FIELDGATE RD, LAWRENCEVILLE, GA 30044-6109
(770) 972-4938
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP000139
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000943335A
—
GA
Enumeration date
07/03/2006
Last updated
07/08/2007
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