Individual
MRS. JULIE MARIE WENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 RIVERSTONE DR, CANTON, GA 30114-5256
(770) 345-7796
Mailing address
1100 FOREST CREEK DR, CANTON, GA 30115-8178
(513) 252-3007
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006712
GA
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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