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Organization

GIFTED INTEGRATIVE SPEECH THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JASMINE PHILPOT CCC-SLP (OWNER)
(678) 948-6632
Entity
Organization

Contact information

Practice address
920 DANNON VW SW STE 3203, ATLANTA, GA 30331-2161
(678) 948-6632
(888) 972-3946
Mailing address
PO BOX 82581, HAPEVILLE, GA 30354-0581

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003184976A
GA
Enumeration date
04/05/2018
Last updated
01/10/2025
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