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Individual

MRS. KATHERINE LISICIA JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MED.CCC-SLP

Contact information

Practice address
3230 NEW MAINE TRL, CUMMING, GA 30041-2882
(678) 513-6193
Mailing address
3230 NEW MAINE TRL, CUMMING, GA 30041-2882
(678) 513-6193

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP001414
GA

Other

Enumeration date
12/13/2010
Last updated
12/13/2010
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