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Individual
JANICE LEIGH ANNE BENNETT
Active
Individual
JANICE LEIGH ANNE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007724
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003126629A
—
GA
01
—
1770843948
NPI GROUP
GA
Enumeration date
10/24/2011
Last updated
08/14/2013
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