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Organization
ROSWELL SPEECH THERAPY, LLC
Active
Organization
ROSWELL SPEECH THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA GINN BOEHM M.S. CCC-SLP (OWNER)
(678) 210-1764
Entity
Organization
Contact information
Practice address
5214 WALTON WAY, ROSWELL, GA 30076-3498
(678) 210-1764
Mailing address
5214 WALTON WAY, ROSWELL, GA 30076-3498
(678) 210-1764
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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