Individual
MRS. ALISA PARHAM DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ALISA DENNIS
Contact information
Practice address
282 LAKE LAUREL RD NE, MILLEDGEVILLE, GA 31061-8443
(478) 453-0673
Mailing address
282 LAKE LAUREL RD NE, MILLEDGEVILLE, GA 31061-8443
(478) 453-0673
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP003926
GA
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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