Individual
GENA S DISMUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
245 CAHABA VALLEY PKWY, SUITE 200, PELHAM, AL 35124-2216
(205) 942-6820
(205) 942-5884
Mailing address
2639 GILMER AVE, TALLASSEE, AL 36078-7213
(334) 283-3975
(334) 252-8277
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
845
AL
Other
Enumeration date
01/20/2009
Last updated
01/20/2009
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