Individual
JESSICA MELITO ORLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP, IBCLC
Contact information
Practice address
410 BROOKHOLLOW LN, JOHNS CREEK, GA 30022-7305
(404) 368-0721
Mailing address
410 BROOKHOLLOW LN, JOHNS CREEK, GA 30022-7305
(404) 368-0721
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
000184
GA
235Z00000X
Speech-Language Pathologist
Primary
009021
GA
Other
Enumeration date
06/15/2012
Last updated
05/06/2020
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