Individual
JANE B DEFEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2121B BELLEVUE RD, DUBLIN, GA 31021-2952
(478) 275-6545
(478) 275-6575
Mailing address
2121B BELLEVUE RD, DUBLIN, GA 31021-2952
(478) 275-6545
(478) 275-6575
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP003732
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000727955B
—
GA
Enumeration date
06/30/2011
Last updated
06/30/2011
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