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Individual

MRS. JENNIFER MICHELE VARNADO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SLP006625

Contact information

Practice address
7170 DEVONHALL WAY, JOHNS CREEK, GA 30097-1898
(407) 970-4583
Mailing address
7170 DEVONHALL WAY, JOHNS CREEK, GA 30097-1898
(407) 970-4583

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SA 7372
FL
235Z00000X
Speech-Language Pathologist
Primary
SLP006625
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
888295900
FL
Enumeration date
12/06/2006
Last updated
02/26/2009
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