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Individual
MRS. JENNIFER RICE THOMAS
Active
Individual
MRS. JENNIFER RICE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP004802
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000916319D
—
GA
05
—
000916319E
—
GA
Enumeration date
01/15/2007
Last updated
06/16/2009
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