Organization
MAGNOLIA SPEECH THERAPY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA MORRIS GREENE MA., CCC/SLP (OWNER)
(678) 340-9305
Entity
Organization
Contact information
Practice address
19 PERRY ST STE B01, NEWNAN, GA 30263-1918
(678) 340-9305
Mailing address
19 PERRY ST STE B01, NEWNAN, GA 30263-1918
(678) 340-9305
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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