Individual
DR. JANICE E JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4320 BRIDLE POINT PKWY, SNELLVILLE, GA 30039-2773
(404) 917-3447
(770) 602-1212
Mailing address
4320 BRIDLE POINT PKWY, SNELLVILLE, GA 30039-2773
(404) 917-3447
(770) 602-1212
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP001552
GA
Other
Enumeration date
12/29/2006
Last updated
07/08/2007
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