Individual
MS. JOI JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3249 LIBERTY COMMONS DR NW, KENNESAW, GA 30144-2322
(770) 826-1334
Mailing address
3249 LIBERTY COMMONS DR NW, KENNESAW, GA 30144-2322
(770) 826-1334
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005032
GA
Other
Enumeration date
04/28/2009
Last updated
04/28/2009
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