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Individual

LOIS SPENCER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
2647 PAUL AVE NW, ATLANTA, GA 30318-1136
(404) 983-3529
(404) 799-9128
Mailing address
2647 PAUL AVE NW, ATLANTA, GA 30318-1136
(404) 983-3529
(404) 799-9128

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
006157
GA

Other

Enumeration date
10/27/2010
Last updated
10/27/2010
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