Individual
MS. JORDAN KENDRICK SIMMONS GILLIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
6505 SHILOH RD STE 320, ALPHARETTA, GA 30005-1647
(678) 648-7644
Mailing address
6505 SHILOH RD STE 320, ALPHARETTA, GA 30005-1647
(678) 648-7644
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007962
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00609056G
—
GA
Enumeration date
09/16/2013
Last updated
07/31/2024
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