Individual
KORTNI ENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.,CCC-SLP
Contact information
Practice address
8914 SPRING GRV S, MOBILE, AL 36695-5312
(404) 414-8932
Mailing address
8914 SPRING GRV S, MOBILE, AL 36695-5312
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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