Individual
LAURA BRASWELL CONGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
304 JANET STREET, UNIT D, VALDOSTA, GA 31602
(229) 469-4580
Mailing address
4414 TRIPLE OAK DR, VALDOSTA, GA 31602
(229) 561-5729
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET001693
GA
Other
Enumeration date
02/27/2012
Last updated
02/27/2012
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