Individual
LACEY N YEOMANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M ED CCC/SLP
Contact information
Practice address
3891 QUAIL HOLLOW VILLAGE, DOUGLAS, GA 31535
(912) 331-0846
(912) 331-0847
Mailing address
1281 CLIFFORD LOOP, BLACKSHEAR, GA 31516-5917
(912) 387-6126
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007059
GA
Other
Enumeration date
04/14/2009
Last updated
04/14/2009
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