LACY BOUTWELL
Individual Provider (NPI-1)
Active
Speech-Language Pathologist,
Provider Information
- NPI Number
1164998928- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 524 S HOUSTON LAKE RD STE B300, WARNER ROBINS, GA, 310889042
- Phone
- (678) 910-3940
- Fax
- (404) 464-0819
Specialties & Taxonomies
Speech-Language Pathologist,
Primary License: GA #SLP008941