Individual
JENNA HASSANZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1634 AFTON LN NE, BROOKHAVEN, GA 30329-1302
(404) 775-0488
Mailing address
1634 AFTON LN NE, BROOKHAVEN, GA 30329-1302
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007758
GA
Other
Enumeration date
05/28/2019
Last updated
07/31/2020
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