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Individual

MRS. JAMIE HOEKSTRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
290 BRANDYWINE BLVD, FAYETTEVILLE, GA 30214-1560
(404) 668-1822
Mailing address
262 OTTER CIR, FAYETTEVILLE, GA 30215-5265
(316) 305-7425

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007745
GA

Other

Enumeration date
08/18/2014
Last updated
08/18/2014
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