Individual
SHARIFA NAILAH JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7162 LONE OAK WAY, LITHONIA, GA 30058-8291
(404) 606-3755
(877) 730-2912
Mailing address
6408 TREE SUMMIT PKWY, DULUTH, GA 30096-8081
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP008992
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLP008992
GA STATE LICENSE
GA
Enumeration date
08/28/2017
Last updated
08/28/2017
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