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Individual

MRS. LAURA ELIZABETH WILFONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED., CCC-SLP

Contact information

Practice address
1305 JENNINGS MILL RD STE 170, WATKINSVILLE, GA 30677-0037
(706) 552-1920
Mailing address
1305 JENNINGS MILL RD, WATKINSVILLE, GA 30677-7238

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP008310
GA

Other

Enumeration date
09/26/2014
Last updated
02/25/2020
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