Individual
MRS. LORI ALLYSON CANTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 MAIN ST, CLERMONT, GA 30527-1804
(678) 616-3099
Mailing address
530 BLAIR RD, MOUNT AIRY, GA 30563-3825
(706) 778-0874
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
GA
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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