MRS. Jill Nicole Lawrence, CCC/SLP

NPI #1154596419 in Vidalia, Georgia

Provider Information

NPI Number
1154596419
Entity Type
Individual
Name
MRS. Jill Nicole Lawrence, CCC/SLP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Credential
CCC/SLP
Enumeration Date
Apr 28, 2008
Last Updated
Apr 28, 2008

Practice Location

Address
1400 NE MAIN ST
Address 2
BETHANY ALF
State
Georgia
ZIP Code
30474
Phone
(912) 375-3797

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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