MARY GRACE JAQUES

JEFFERSON, GA
NPI1710544119
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence:   SLP010476)
Enumeration Date2019-05-22
Last Update Date2019-05-22
Business Address
-- MARY GRACE JAQUES M.Ed., CCC-SLP
40 PROFESSIONAL DR
JEFFERSON, GA 30549-6333
Phone number: 114-170-6367
Mailing Address
-- MARY GRACE JAQUES M.Ed., CCC-SLP
475 BALDWIN ST APT 14
ATHENS, GA 30605-5152
Phone number: 706-399-1865
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