Individual
LAUREN PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
709 CRESCENT CIR, CANTON, GA 30115-4772
(844) 543-8437
(844) 543-8437
Mailing address
1350 PENNSYLVANIA AVE, MCDONOUGH, GA 30253-9110
(844) 543-8437
(844) 543-8437
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP009375
GA
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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