Individual
JENNIFER C OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
9895 LA VIEW CIR, ROSWELL, GA 30075-4632
(404) 694-9105
Mailing address
9895 LA VIEW CIR, ROSWELL, GA 30075-4632
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3700
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA0703
—
SC
Enumeration date
07/26/2006
Last updated
02/11/2009
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