Individual
MRS. JEANNIE SHABABY DALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
545 OLD NORCROSS RD, STE 100, LAWRENCEVILLE, GA 30046-3389
(678) 377-2833
(678) 377-2882
Mailing address
545 OLD NORCROSS RD, STE 100, LAWRENCEVILLE, GA 30046-3389
(678) 377-2833
(678) 377-2882
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007644
GA
Other
Enumeration date
04/12/2012
Last updated
04/12/2012
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