Jaques, Mary Grace
Jaques, Mary Grace is an individual health care provider with primary practice located at 40 Professional Dr , Jefferson GA 30549-6333. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Jaques, Mary Grace can be contacted via phone (114) 170-6367.Contact Information
Primary practice address
40 Professional Dr
Jefferson GA 30549-6333
Phone: (114) 170-6367
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP010476 |
Profile Details
| NPI number | 1710544119 |
|---|---|
| LBN Legal business name | Jaques, Mary Grace |
| Credentials | M.ED., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2019 |
| Last updated | May 22nd, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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