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Individual

JUNETTA O'NEAL II

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4166 NEWTON DR NE, SUITE B, COVINGTON, GA 30014-2522
(770) 788-1521
Mailing address
4186 MILL ST NE, SUITE B, COVINGTON, GA 30014-2559
(770) 788-1521
(770) 788-1522

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP004796
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000933798A
GA
Enumeration date
01/02/2007
Last updated
12/01/2014
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