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Individual

MRS. SHAKEITRICE STOKES JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, CCC-SLP

Contact information

Practice address
3624 J DEWEY GRAY CIR, AUGUSTA, GA 30909-6584
(706) 651-2270
(706) 651-2271
Mailing address
790 KNOX RD, HARLEM, GA 30814-4527
(706) 294-2222

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5070
SC
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
06/11/2012
Last updated
06/14/2023
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