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Organization

LINGUISTIC IMPRESSIONS THERAPEUTIC SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELA M JONES (SPEECH LANGUAGE PATHOLOGIST)
(404) 915-2736
Entity
Organization

Contact information

Practice address
2451 CUMBERLAND PKWY SE, SUITE 3693, ATLANTA, GA 30339-6136
(404) 915-2736
(404) 795-0840
Mailing address
2451 CUMBERLAND PKWY SE, SUITE 3693, ATLANTA, GA 30339-6136
(404) 915-2736
(404) 795-0840

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006095
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
124104840G
GA
05
124104840I
GA
Enumeration date
06/29/2009
Last updated
10/21/2011
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