Individual
MRS. JANNIE HOUSE JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
80 CHURCH ST, WINDER, GA 30680-1714
(770) 868-5810
(770) 868-5810
Mailing address
PO BOX 1109, WINDER, GA 30680-1109
(770) 868-5810
(770) 868-5810
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP003468
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003468
STATE LISENCE
GA
05
—
00695857C
—
GA
Enumeration date
11/17/2006
Last updated
10/22/2008
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