Individual
JENNIFER DAUGHTREY TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2360 MURPHY BLVD, GAINESVILLE, GA 30504-6002
(770) 535-8372
Mailing address
1441 ERYN CIR, SUWANEE, GA 30024-2843
(770) 826-9581
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006729
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040157399
DRIVERS LICENSE
GA
Enumeration date
06/05/2012
Last updated
02/28/2024
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