Individual
REBECCA ANN GILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
11285 ELKINS RD # G2, ROSWELL, GA 30076-1259
(678) 824-2145
Mailing address
1202 FORREST WALK, ROSWELL, GA 30075-3950
(770) 851-1201
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP009534
GA
Other
Enumeration date
05/02/2021
Last updated
05/02/2021
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