Individual
JILL RODIBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
204 RESOURCE LN, WINDER, GA 30680-8361
(678) 963-0694
(888) 547-4008
Mailing address
204 RESOURCE LN, WINDER, GA 30680-8361
(678) 963-0694
(888) 547-4008
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005863
GA
Other
Enumeration date
11/17/2006
Last updated
06/09/2022
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