Individual
MRS. JENNIFER BOGGUS BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2280 HIGHWAY 29 N, NEWNAN, GA 30265-1031
(770) 683-6833
Mailing address
2280 HIGHWAY 29 N, NEWNAN, GA 30265-1031
(770) 683-6833
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP008704
GA
Other
Enumeration date
12/09/2014
Last updated
12/09/2014
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