Individual
JENNIFER SHANNIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1244 CLAIRMONT RD STE 224, DECATUR, GA 30030-1260
(404) 728-9766
(404) 728-9166
Mailing address
507 CARTER AVE SE, ATLANTA, GA 30317-3248
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
004080
GA
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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