Individual
SHANNON LAMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1777 NORTHEAST EXPY NE STE 120, BROOKHAVEN, GA 30329-2475
(404) 228-8558
Mailing address
1731 BRIARVISTA WAY NE, ATLANTA, GA 30329-3640
(478) 731-6825
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP011636
GA
235Z00000X
Speech-Language Pathologist
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Other
Enumeration date
07/13/2021
Last updated
01/30/2023
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