Individual
JESSICA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 ROYAL OAK DR, GUYTON, GA 31312-5624
(912) 665-7471
Mailing address
118 ROYAL OAK DR, GUYTON, GA 31312-5624
(912) 665-7471
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA000457
GA
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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