Individual
MRS. LAURIE ANN CARLISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
731 LEIGHTON AVE, ANNISTON, AL 36207-5761
(256) 235-5688
Mailing address
4601 LAURA LN, SOUTHSIDE, AL 35907-5265
(678) 373-8774
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3023
AL
Other
Enumeration date
01/19/2011
Last updated
01/19/2011
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