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Individual

MRS. JESSICA FORRESTER GROCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP/CCC

Contact information

Practice address
4071 S ACCESS RD STE 108, CHATTANOOGA, TN 37406-1200
(423) 894-4774
(423) 894-4775
Mailing address
PO BOX 903, HIXSON, TN 37343-0903
(423) 894-4774
(423) 894-4775

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9750
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SLP009750
SPEECH-LANGUAGE PATHOLOGIST STATE LICENSE
GA
Enumeration date
06/09/2022
Last updated
06/09/2022
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