Individual
JENNIFER ELIZABETH MCCULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1230 JOHNSON FERRY PL, SUITE I-20, MARIETTA, GA 30068-2048
(770) 321-6707
(404) 551-3891
Mailing address
1230 JOHNSON FERRY PL, SUITE I-20, MARIETTA, GA 30068-2048
(770) 321-6707
(404) 551-3891
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006922
GA
Other
Enumeration date
06/22/2010
Last updated
06/22/2010
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