Jennifer Mask
NPI #1114664679 in Loganville, Georgia
Provider Information
- NPI Number
- 1114664679
- Entity Type
- Individual
- Name
- Jennifer Mask
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- May 17, 2022
- Last Updated
- May 17, 2022
Practice Location
- Address
- 3715 HARRISON RD STE 100
- City
- Loganville
- State
- Georgia
- ZIP Code
- 30052-8713
- Phone
- (678) 377-2833
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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