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LYNETTE POWERS CCC-SLP

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1134451362

Individual Registrant:
 LYNETTE  POWERS CCC-SLP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
3357 WARE ST  BLACKSHEAR, GA 31516-6111 US
Tel: 912-449-5615  Fax: 407-264-6557

Contact information for business:
816 FORESTWOOD DR  MINNEOLA, FL 34715-7723 US
Tel: 352-536-2561  Fax: 407-264-6557

Registration Information:
NPI: 1134451362
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
GASLP004423

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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