Individual
LAWANDA REESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
4482 S RIVER CV, ELLENWOOD, GA 30294-3281
(678) 438-9036
(404) 381-3043
Mailing address
4482 S RIVER CV, ELLENWOOD, GA 30294-3281
(678) 438-9036
(404) 381-3043
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005435
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00972573A
—
GA
Enumeration date
12/18/2006
Last updated
07/09/2007
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