Individual
JASMIA JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
803 WITHERSPOON CT, MCDONOUGH, GA 30253-4110
(662) 801-3984
Mailing address
803 WITHERSPOON CT, MCDONOUGH, GA 30253-4110
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007484
GA
Other
Enumeration date
02/24/2016
Last updated
02/24/2016
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