Individual
JESSICA JILL MAHONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP-CCC
Contact information
Practice address
11180 CRABAPPLE RD, ROSWELL, GA 30075-2404
(678) 277-9275
Mailing address
510 N HIGHLAND AVE NE APT 1, ATLANTA, GA 30307-1475
(337) 577-8758
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP012372
GA
Other
Enumeration date
01/18/2023
Last updated
01/18/2023
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