Individual
LUCETTE RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.,CCC-SLP
Contact information
Practice address
1637 ATHENS HWY, GRAYSON, GA 30017-1768
(770) 995-9600
(678) 383-4556
Mailing address
1637 ATHENS HWY, GRAYSON, GA 30017-1768
(770) 995-9600
(678) 383-4556
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP013086
GA
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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