Individual
MRS. LAURETTE HINTON BURLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.P., CCC-SLP
Contact information
Practice address
6075 ATLANTIC BLVD, SUITE G-1, NORCROSS, GA 30071-1349
(770) 209-9826
(770) 209-9876
Mailing address
2260 CHARLESTON OAK CIR, LAWRENCEVILLE, GA 30043-2272
(770) 822-5229
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP004809
GA
Other
Enumeration date
05/20/2007
Last updated
07/08/2007
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