Individual
JODY CHARLENE BURKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1379 BELLSMITH DR, ROSWELL, GA 30076-0918
(770) 296-9221
Mailing address
1379 BELLSMITH DR, ROSWELL, GA 30076-0918
(770) 296-9221
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13603
CA
Other
Enumeration date
10/28/2006
Last updated
01/19/2013
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