Individual
JENNIFER LAUREN BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD-CCC/SLP
Contact information
Practice address
1480 LEIGHTON DR, SODDY DAISY, TN 37379-9127
(770) 584-7258
Mailing address
1480 LEIGHTON DR, SODDY DAISY, TN 37379-9127
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/18/2018
Last updated
03/18/2018
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