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Organization

MAGNOLIA SPEECH THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EBONY JOHNSON (SPEECH LANGUAGE PATHOLOGIST)
(615) 751-6524
Entity
Organization

Contact information

Practice address
509 ENON SPRINGS RD E, SMYRNA, TN 37167-4486
(615) 751-6524
(615) 534-4762
Mailing address
509 ENON SPRINGS RD E, SMYRNA, TN 37167-4486
(615) 751-6524
(615) 534-4762

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
02/16/2021
Last updated
10/11/2025
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