Individual
LAURIE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1201 BURLEYSON RD, DALTON, GA 30720-3019
(706) 226-8900
Mailing address
1201 BURLEYSON RD, DALTON, GA 30720-3019
(706) 226-8900
(706) 226-8905
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP011017
GA
Other
Enumeration date
05/01/2020
Last updated
05/19/2020
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