Individual
MRS. KELLY WILLIFORD HENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
106 E MARTINTOWN RD STE A, NORTH AUGUSTA, SC 29841-3425
(803) 993-9959
(803) 728-3334
Mailing address
106 E MARTINTOWN RD STE A, NORTH AUGUSTA, SC 29841-3425
(803) 993-9959
(803) 728-3334
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7217
SC
235Z00000X
Speech-Language Pathologist
SLP008111
GA
Other
Enumeration date
03/05/2013
Last updated
03/11/2025
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