Individual
JENNIFER RO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
6269 GRAND LOOP RD, SUGAR HILL, GA 30518-8913
(678) 520-7776
Mailing address
6269 GRAND LOOP RD, SUGAR HILL, GA 30518-8913
(678) 520-7776
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3637
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000756742
—
GA
Enumeration date
11/16/2006
Last updated
05/31/2011
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