MRS. Jeannie Shababy Dale, MS,CCC-SLP

NPI #1114284353 in Lawrenceville, Georgia

Provider Information

NPI Number
1114284353
Entity Type
Individual
Name
MRS. Jeannie Shababy Dale, MS,CCC-SLP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
MS,CCC-SLP
Enumeration Date
Apr 12, 2012
Last Updated
Apr 12, 2012

Practice Location

Address
545 OLD NORCROSS RD
Address 2
STE 100
State
Georgia
ZIP Code
30046-3389
Phone
(678) 377-2833

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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