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Individual

LINDSEY MARIE POWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MCD, CCC-SLP

Contact information

Practice address
2962 PATHVIEW LN, MARIETTA, GA 30062-1460
(352) 502-6217
Mailing address
2962 PATHVIEW LN, MARIETTA, GA 30062-1460
(352) 502-6217

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14196952
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14196952
AMERICAN SPEECH-LANGUAGE AND HEARING ASSOCIATION
GA
Enumeration date
08/25/2020
Last updated
08/14/2022
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