Individual
JANELL BRAXTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1299 BATTLECREEK RD, JONESBORO, GA 30236-7981
(567) 249-8470
Mailing address
1299 BATTLECREEK RD, JONESBORO, GA 30236-7981
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14059245
GA
Other
Enumeration date
07/28/2014
Last updated
10/15/2014
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