Individual
JENNIFER MUNIZ X
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
113 LAKESHORE PKWY, NEWNAN, GA 30263-2286
(404) 944-7437
Mailing address
113 LAKESHORE PKWY, NEWNAN, GA 30263-2286
(404) 944-7437
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
005296
GA
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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