Individual
LAMITA SHAUNTEE' SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED. CCC-SLP
Contact information
Practice address
320 WINDSOR WAY, FAIRBURN, GA 30213-6496
(770) 355-6702
Mailing address
320 WINDSOR WAY, FAIRBURN, GA 30213-6496
(770) 355-6702
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005677
GA
Other
Enumeration date
01/21/2012
Last updated
01/21/2012
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