Individual
REBECCA HENNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1850 KERRY CREEK DR, MARIETTA, GA 30066-4365
(678) 313-2002
Mailing address
1850 KERRY CREEK DR, MARIETTA, GA 30066-4365
(678) 313-2002
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007298
GA
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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