Individual
MRS. JENNIFER DANICE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
404 SAFFRON LANE, MCDONOUGH, GA 30252
(678) 502-0521
Mailing address
404 SAFFRON LANE, MCDONOUGH, GA 30252-8976
(678) 502-0521
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
008655
GA
235Z00000X
Speech-Language Pathologist
10673
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06192014925817
TRACKING ID
GA
Enumeration date
06/19/2014
Last updated
03/13/2025
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