Individual
MRS. JENNIE GRAISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7350 TALBOT COLONY NE, ATLANTA, GA 30328-1625
(404) 822-7373
Mailing address
1255 HOLLY LN NE, ATLANTA, GA 30329-3511
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007574
GA
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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