JACQUELYN SUZANNE LAVENDER

DULUTH, GA
NPI1538879010
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: GA  SLP005556)
Enumeration Date2022-11-25
Last Update Date2022-11-25
Business Address
JACQUELYN SUZANNE LAVENDER SLP
8770 GLASGOW POINTE
DULUTH, GA 30097-6606
Phone number: 440-497-8499
Mailing Address
JACQUELYN SUZANNE LAVENDER SLP
2746 BERKSHIRE DR
WINDER, GA 30680-6121
Phone number: 770-362-6939