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Organization

PROFESSIONAL SPEECH & LANGUAGE THERAPY, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS JAVONYA DONELL CLEMONS M.S. CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(678) 608-9601
Entity
Organization

Contact information

Practice address
210 WALKER ST SW UNIT 5, ATLANTA, GA 30313-1213
(678) 608-9601
(404) 748-4482
Mailing address
210 WALKER ST SW UNIT 5, ATLANTA, GA 30313-1213
(678) 608-9601
(404) 748-4482

Taxonomy

Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary

Other

Enumeration date
03/21/2010
Last updated
03/21/2010
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