Jubilee Therapy, LLC
NPI #1417434986 in Vicksburg, Mississippi
Provider Information
- NPI Number
- 1417434986
- Entity Type
- Organization
- Organization Name
- Jubilee Therapy, LLC
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Jul 26, 2018
- Last Updated
- Oct 28, 2020
Practice Location
- Address
- 916 BELMONT ST STE 1
- City
- Vicksburg
- State
- Mississippi
- ZIP Code
- 39180-3830
- Phone
- (817) 946-0773
Authorized Official
- Name
- ASHTON M HOTARD, M.S. CCC-SLP
- Title
- SPEECH LANGUAGE PATHOLOGIST
- Phone
- (601) 852-3271
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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