Individual
JENNA MICHELE WOLLERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
311 COOPER ROAD, GRAYSON, GA 30017
(678) 205-5437
Mailing address
40 SOMERSET CT, COVINGTON, GA 30016-1768
(201) 937-1476
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP012265
GA
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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