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Individual

ANNA SUMMERLYN ENSOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S. CCC-SLP

Contact information

Practice address
564 N MEMORIAL DR, PRATTVILLE, AL 36067-2132
(334) 491-0066
Mailing address
14963 SUNNY WAY, NORTHPORT, AL 35475-3344
(205) 799-5340

Taxonomy

Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
14288759
AL

Other

Enumeration date
04/19/2023
Last updated
04/23/2023
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