Individual
MRS. JACQUELINE LAMAR GRUSZYNSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1760 WESTMINISTER WAY, MADISON, GA 30650
(706) 752-1527
(706) 752-1527
Mailing address
1760 WESTMINISTER WAY, MADISON, GA 30650
(706) 752-1527
(706) 752-1527
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006502
GA
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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