Individual
MRS. JESSICA P GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED CCC-SLP
Contact information
Practice address
103 KYNDALL LN, FORSYTH, GA 31029-8762
(478) 955-1204
Mailing address
57 S LEE ST, FORSYTH, GA 31029-1700
(478) 955-1204
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP009104
GA
Other
Enumeration date
12/04/2023
Last updated
12/13/2023
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