Individual
DENISE JONES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Contact information
Practice address
8035 OUSLEY RD, VALDOSTA, GA 31601-1011
(229) 293-9079
Mailing address
8035 OUSLEY RD, VALDOSTA, GA 31601-1011
(229) 293-9079
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
003015
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00631133C
—
GA
Enumeration date
05/10/2006
Last updated
07/09/2007
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