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Individual

MRS. JO ANN KONENKAMP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, CCC-SLP

Contact information

Practice address
1297 MILE POST DR, ATLANTA, GA 30338-4756
(678) 662-0922
(478) 287-4804
Mailing address
1297 MILE POST DR, ATLANTA, GA 30338-4756
(678) 662-0922
(478) 287-4804

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
003763
GA

Other

Enumeration date
12/30/2016
Last updated
12/30/2016
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