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Ms. Lavern Shelton, OT
Specialist in Decatur, Georgia
NPI 1891910014

Lavern Shelton is a Specialist based in Decatur, GA. Lavern Shelton practices in Decatur, GA and has the professional credentials of OT. The NPI Number for Lavern Shelton is 1891910014 and holds a License No. (Georgia).

The current practice location address for Lavern Shelton is 2301 Wingfoot Pl, Decatur, GA and can be reached out via phone at 404-298-6404 and via fax at 404-593-1268.

Location: 2301 Wingfoot Pl, Decatur, GA, 30035-2812
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891910014
Provider Name
Lavern Shelton
Credential
OT
Provider Entity Type
Individual
Gender
Female
Address
2301 Wingfoot Pl, Decatur, GA, 30035-2812
Phone Number
404-298-6404
Fax Number
404-593-1268
Provider Enumeration Date
04/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
O.T. 000696 01 GA LICENSE NO.
institution
Provider Business Practice Location Address Details
Address
2301 Wingfoot Pl
City
Decatur
State
Georgia
Zip
30035-2812
Phone Number
404-298-6404
Fax Number
404-593-1268
person
Provider Business Mailing Address Details
Address
2301 Wingfoot Pl
City
Decatur
State
Georgia
Zip
30035-2812
Phone Number
404-298-6404
Fax Number
404-593-1268
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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