Individual
JASMINE MONIQUE GAITHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S./CCC-SLP
Contact information
Practice address
961 FELLOWSHIP RD, FAIRBURN, GA 30213-1790
(678) 575-8090
Mailing address
961 FELLOWSHIP RD, FAIRBURN, GA 30213-1790
(678) 575-8090
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007259
GA
Other
Enumeration date
09/12/2015
Last updated
09/12/2015
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