Individual
MRS. JODY THERESA HOUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
104 PRESTWICK DR, LAGRANGE, GA 30241-8382
(772) 539-1038
Mailing address
104 PRESTWICK DR, LAGRANGE, GA 30241-8382
(772) 539-1038
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SA688
FL
235Z00000X
Speech-Language Pathologist
Primary
SLP013484
GA
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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