Individual
MS. REGEN VACHELLE FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.,CCC-SLP
Contact information
Practice address
511 OAKLAND CIR, JACKSON, GA 30233-1561
(404) 392-9576
Mailing address
511 OAKLAND CIR, JACKSON, GA 30233-1561
(404) 392-9576
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006902
GA
Other
Enumeration date
07/24/2008
Last updated
07/30/2008
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