Individual
JOAN LAUGHTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D CCC-SLP
Contact information
Practice address
135 DEERFIELD RD, BOGART, GA 30622-1737
(706) 247-3499
Mailing address
135 DEERFIELD RD, BOGART, GA 30622-1737
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP000396
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLP000396
GA STATE LICENSE
GA
Enumeration date
09/03/2010
Last updated
09/03/2010
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