Individual
MS. JENNIFER ELAINE KEARSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MACCCSLP
Contact information
Practice address
813 ATLANTA HWY, WARRENTON, GA 30828-9105
(706) 465-3328
Mailing address
849 TIGER BLVD UNIT 203, CLEMSON, SC 29631-1577
(706) 244-0900
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP003879
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SLP003879
—
GA
Enumeration date
10/25/2018
Last updated
10/25/2018
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