Individual
LAURA L WORTHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.C.D., CCC-SLP
Contact information
Practice address
225 WATERS EDGE LN, NEWNAN, GA 30263-3594
(770) 251-1869
(706) 378-9046
Mailing address
225 WATERS EDGE LN, NEWNAN, GA 30263-3594
(770) 251-1869
(706) 378-9046
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP004676
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000866269B
—
GA
05
—
000866269D
—
GA
Enumeration date
11/28/2006
Last updated
09/27/2007
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