Individual
SANJENETTA I LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED CCC-SLP
Contact information
Practice address
228 E POPLAR ST STE D, GRIFFIN, GA 30224-3401
(478) 227-3187
Mailing address
228 E POPLAR ST STE D, GRIFFIN, GA 30224-3401
(478) 227-3187
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP004324
GA
Other
Enumeration date
12/20/2007
Last updated
09/28/2021
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