Individual
LOURDES SORIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
125 CREEKVIEW TRL, FAYETTEVILLE, GA 30214-7229
(706) 575-0118
(866) 464-6131
Mailing address
125 CREEKVIEW TRL, FAYETTEVILLE, GA 30214-7229
(706) 575-0118
(866) 464-6131
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005202
GA
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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