Individual
JENNIFER SAMUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4300 CHAPEL HILL RD STE 1000, DOUGLASVILLE, GA 30135-4227
(800) 381-2195
Mailing address
3075 LANDINGTON DR, AUSTELL, GA 30106-3535
(860) 416-6108
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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