Individual
LORALYE QUEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED CF-SLP
Contact information
Practice address
909 S PARK ST STE H, CARROLLTON, GA 30117-4456
(678) 601-3396
(678) 601-3274
Mailing address
909 S PARK ST STE H, CARROLLTON, GA 30117-4456
(678) 601-3396
(678) 601-3274
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET004549
GA
Other
Enumeration date
06/29/2026
Last updated
06/29/2026
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