Individual
CECILEE ENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CFY/SLP
Contact information
Practice address
105 LAURA SUE HUMPHRESS DR, CAMPBELLSVILLE, KY 42718-8899
(270) 465-7768
(270) 465-0068
Mailing address
105 LAURA SUE HUMPHRESS DR, CAMPBELLSVILLE, KY 42718-8899
(270) 465-7768
(270) 465-0068
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11-101
KY
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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