Individual
JOHANNA RUTH HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 AUGUSTA ST., SUITE 2500, GREENVILLE, SC 29605
(864) 630-6804
Mailing address
25 DRAPER ST APT 307, GREENVILLE, SC 29611-4789
(501) 993-2431
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/08/2017
Last updated
01/04/2018
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