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Individual

JAZMIN SHANEE BARNES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2696 MADISON MAE LN, GRAYSON, GA 30017-7819
(770) 369-3429
Mailing address
2696 MADISON MAE LN, GRAYSON, GA 30017-7819

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
PCET003073
GA
235Z00000X
Speech-Language Pathologist
Primary
SLP011594
GA

Other

Enumeration date
05/22/2020
Last updated
06/20/2023
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