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1538879010
JACQUELYN SUZANNE LAVENDER
DULUTH, GA
NPI
1538879010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA SLP005556)
Enumeration Date
2022-11-25
Last Update Date
2022-11-25
Business Address
JACQUELYN SUZANNE LAVENDER SLP
8770 GLASGOW POINTE
DULUTH, GA 30097-6606
Phone number: 440-497-8499
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Mailing Address
JACQUELYN SUZANNE LAVENDER SLP
2746 BERKSHIRE DR
WINDER, GA 30680-6121
Phone number: 770-362-6939
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