Organization
ATLANTA EARLY LANGUAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN HENSLEY MSP (OWNER)
(678) 927-9319
Entity
Organization
Contact information
Practice address
1422 ASHFORD PKWY, DUNWOODY, GA 30338-5550
(678) 613-7725
Mailing address
1422 ASHFORD PKWY, DUNWOODY, GA 30338-5550
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006384
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
625638622B
—
GA
Enumeration date
06/16/2009
Last updated
05/05/2010
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