Individual
JAMIE S HURST-LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-CCC
Contact information
Practice address
229 HILLBROOK DR, MARTINEZ, GA 30907-1588
(706) 860-9385
(706) 868-5624
Mailing address
229 HILLBROOK DR, MARTINEZ, GA 30907-1588
(706) 860-9385
(706) 868-5624
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP003571
GA
Other
Enumeration date
10/23/2008
Last updated
10/23/2008
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