Individual
JESSICA KRISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED CCC-SLP
Contact information
Practice address
102 TANGLEWOOD TRL, CARROLLTON, GA 30116-8820
(770) 845-0721
Mailing address
102 TANGLEWOOD TRL, CARROLLTON, GA 30116-8820
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007936
GA
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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