Organization
COMMUNICATION CONNECTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AJUANZIE LUCIANNA ROSS-JOHNSON CCC-SLP (SPEECHPATHOLOGIST)
(601) 750-3843
Entity
Organization
Contact information
Practice address
225 JASMINE DR, JACKSON, MS 39212-3283
(601) 750-3843
(601) 346-7937
Mailing address
225 JASMINE DR, JACKSON, MS 39212-3283
(601) 750-3843
(601) 346-7937
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
S3090
MS
Other
Enumeration date
04/03/2012
Last updated
04/03/2012
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