Individual
LISA GOOLSBY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, CCC-SLP
Contact information
Practice address
4149 ARKWRIGHT RD, SUITE D, MACON, GA 31210-1732
(478) 731-3677
(478) 405-0363
Mailing address
402 ARDEN LN N, MACON, GA 31210-7605
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006324
GA
Other
Enumeration date
08/28/2013
Last updated
08/28/2013
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