Individual
JENNIFER IRWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
164 SUMMER GROVE LANE, MACON, GA 31206
(478) 538-1436
Mailing address
164 SUMMER GROVE LANE, MACON, GA 31206
(478) 538-1436
Taxonomy
Speciality
Code
Description
License number
State
235500000X
Speech/Language/Hearing Specialist/Technologist
Primary
SLP006766
GA
Other
Enumeration date
10/03/2013
Last updated
10/03/2013
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