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Individual

JASON DWYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1001 JOHNSON FY RD NE, ATLANTA, GA 30342-1605
(404) 785-3736
Mailing address
1001 JOHNSON FY RD NE, ATLANTA, GA 30342-1605

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP009269
GA

Other

Enumeration date
07/26/2016
Last updated
07/26/2016
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