Individual
JENNIFER HEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
336 CARMICHAEL CIR, CANTON, GA 30115-6863
(770) 345-6192
Mailing address
336 CARMICHAEL CIR, CANTON, GA 30115-6863
(770) 345-6192
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP004655
GA
Other
Enumeration date
09/13/2007
Last updated
09/13/2007
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