Individual
JESSIE NELSON WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3203 SUTTON PL, DULUTH, GA 30096-3515
(478) 454-8889
Mailing address
3203 SUTTON PL, DULUTH, GA 30096-3515
(478) 454-8889
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12148957
GA
Other
Enumeration date
07/14/2012
Last updated
08/13/2015
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