Individual
MRS. JENNIFER CREWS CHASTAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
448 WELLBORN ST, BLAIRSVILLE, GA 30512-3548
(706) 745-2483
Mailing address
102 W OAKCREST RD, EPWORTH, GA 30541-2245
(706) 964-1250
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005903
GA
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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