Organization
JASON DWYER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON DWYER (SPEECH LANGUAGE PATHOLOGIST)
(781) 690-6723
Entity
Organization
Contact information
Practice address
3519 SUNDERLAND WAY NE, BROOKHAVEN, GA 30319-1953
(781) 690-6723
Mailing address
3519 SUNDERLAND WAY NE, BROOKHAVEN, GA 30319-1953
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/15/2020
Last updated
03/24/2020
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