Individual
JOSHUA D BLACKMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED.,CCC
Contact information
Practice address
1000 JOHNSON FERRY RD, SUITE A100, MARIETTA, GA 30068-2114
(770) 977-9457
(770) 977-5087
Mailing address
1000 JOHNSON FERRY RD, SUITE A100, MARIETTA, GA 30068-2114
(770) 977-9457
(770) 977-5087
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007558
GA
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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