Individual
LAUREN ELIZABETH BAZEMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSP, CCC-SLP
Contact information
Practice address
727 W 6TH ST, WAYNESBORO, GA 30830-4407
(706) 592-5565
(706) 751-0825
Mailing address
2312 1/2 WALTON WAY, AUGUSTA, GA 30904-6124
(912) 978-0564
(706) 751-0825
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP010117
GA
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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