Individual
JENNA MATTOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1224 N HIGHLAND AVE NE, UNIT 2, ATLANTA, GA 30306-3322
(540) 314-8892
Mailing address
1224 N HIGHLAND AVE NE, UNIT 2, ATLANTA, GA 30306-3322
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/23/2013
Last updated
04/23/2013
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