Individual
JESSICA GINN BOEHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
5214 WALTON WAY, ROSWELL, GA 30076-3498
(678) 499-4693
Mailing address
5214 WALTON WAY, ROSWELL, GA 30076-3498
(678) 499-4693
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP004728
GA
Other
Enumeration date
11/10/2015
Last updated
07/21/2021
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