Individual
MS. JENNIFER WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1294 HIGHWAY 54 W, FAYETTEVILLE, GA 30214-4518
(770) 755-5450
Mailing address
3075 ORR DR, EAST POINT, GA 30344-4055
(404) 317-6025
(404) 766-5692
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
007086
GA
235Z00000X
Speech-Language Pathologist
106514
TX
Other
Enumeration date
03/03/2011
Last updated
05/07/2013
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