Individual
MRS. JAIME HUDSON WAXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
1071 THOMAS AVE, WATKINSVILLE, GA 30677-6073
(770) 207-6390
(678) 374-4855
Mailing address
2240 MAYORS WAY, BUFORD, GA 30519-8065
(706) 614-4707
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP009729
GA
Other
Enumeration date
06/28/2017
Last updated
06/28/2017
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