Individual
JESSICA GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3516 SPRING VIEW CT, ALPHARETTA, GA 30004-8907
(563) 543-7466
Mailing address
3516 SPRING VIEW CT, ALPHARETTA, GA 30004-8907
(563) 543-7466
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
3708
AL
235Z00000X
Speech-Language Pathologist
Primary
SLP009224
GA
Other
Enumeration date
06/30/2016
Last updated
06/30/2016
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