JORDAN LESLIE SIEGALL

MARIETTA, GA
NPI1457582116
Former NameJORDAN LESLIE GINSBURG
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: GA  SLP007362)
Additional Taxonomies235Z00000X Speech-Language Pathologist,
(Licence: FL  SZ 4809)
Enumeration Date2009-07-29
Last Update Date2010-10-21
Business Address
Mrs. JORDAN LESLIE SIEGALL CCC-SLP
1000 JOHNSON FERRY RD STE A100
MARIETTA, GA 30068-2110
Phone number: 770-977-9457
Mailing Address
Mrs. JORDAN LESLIE SIEGALL CCC-SLP
1000 JOHNSON FERRY RD STE A100
MARIETTA, GA 30068-2110
Phone number: