Individual
LISA ARNOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
424 CREEKSTONE RDG, WOODSTOCK, GA 30188-3740
(678) 462-1342
Mailing address
709 CRESCENT CIR, CANTON, GA 30115-4772
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001389
GA SLP LICENSE
GA
Enumeration date
02/21/2012
Last updated
02/21/2012
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