Individual
JACLYN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED. CCC-SLP
Contact information
Practice address
1475 HOLCOMB BRIDGE RD, ROSWELL, GA 30076-2139
(678) 591-3542
Mailing address
6105 ORIOLE LN, CUMMING, GA 30028-2220
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP009423
GA
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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