Individual
DR. JENIFFER DUTKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
407 GREYFIELD LN, SANDY SPRINGS, GA 30350-2075
(678) 200-7214
(404) 785-3706
Mailing address
407 GREYFIELD LN, SANDY SPRINGS, GA 30350-2075
(678) 200-7214
(404) 785-3706
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP01121865
GA
Other
Enumeration date
08/18/2008
Last updated
09/09/2008
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