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Individual

JESSICA WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
241 W WIEUCA RD NE, STE. 120, ATLANTA, GA 30342-3367
(470) 258-2058
(404) 601-5442
Mailing address
241 W WIEUCA RD NE, STE. 120, ATLANTA, GA 30342-3367
(404) 601-5442

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003137036E
GA
Enumeration date
11/23/2010
Last updated
01/27/2016
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