Individual
CORINNE IDA PORTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4319 SOUTH LEE STREET, CHANDLER SPEECH AND LANGUAGE SERVICES, BUFORD, GA 30518-5747
(678) 288-9770
Mailing address
3347 CAMENS WAY, BUFORD, GA 30519-6755
(770) 653-5175
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5156
GA
Other
Enumeration date
06/05/2017
Last updated
06/05/2017
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