Individual
JESSICA VICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3104 SKINNER MILL RD, AUGUSTA, GA 30909-1968
(706) 339-7465
Mailing address
1168 PARKSIDE TRL, EVANS, GA 30809-5234
(706) 339-7465
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP012547
GA
Other
Enumeration date
06/23/2022
Last updated
05/26/2023
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