Lisa Black

NPI #1801255161 in Suwanee, Georgia

Provider Information

NPI Number
1801255161
Entity Type
Individual
Name
Lisa Black
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Feb 15, 2016
Last Updated
Feb 10, 2020

Practice Location

Address
5400 LAUREL SPRINGS PKWY
Address 2
BLDG 400 #404
State
Georgia
ZIP Code
30024-6056
Phone
(678) 473-9954

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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