Jessica West, CCC-SLP
NPI #1457999641 in Loganville, Georgia
Provider Information
- NPI Number
- 1457999641
- Entity Type
- Individual
- Name
- Jessica West, CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- CCC-SLP
- Enumeration Date
- Dec 18, 2019
- Last Updated
- Dec 18, 2019
Practice Location
- Address
- 954 ROZENA PL
- City
- Loganville
- State
- Georgia
- ZIP Code
- 30052-5865
- Phone
- (770) 633-9627
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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