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1508531062
STEPHANIE NICOLE JENKINS
FAYETTEVILLE, GA
NPI
1508531062
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA 011235)
Enumeration Date
2021-08-16
Last Update Date
2021-08-16
Business Address
STEPHANIE NICOLE JENKINS MA CCC-SLP
115 PECAN RIDGE DR
FAYETTEVILLE, GA 30215-6863
Phone number: 614-440-5002
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Mailing Address
STEPHANIE NICOLE JENKINS MA CCC-SLP
115 PECAN RIDGE DR
FAYETTEVILLE, GA 30215-6863
Phone number: 614-440-5002
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