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Individual

MRS. DAWN LACHANDRA JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTRL

Contact information

Practice address
2759 MOUNT ZION PKWY STE A, JONESBORO, GA 30236-2568
(678) 545-6745
(678) 489-7065
Mailing address
2759 MOUNT ZION PKWY STE A, JONESBORO, GA 30236-2568
(678) 545-6745
(678) 489-7065

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT003694
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
513798915B
GA
05
513798915F
GA
Enumeration date
12/26/2006
Last updated
06/11/2019
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