Individual
MS. ANGELA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, CCC-SLP
Contact information
Practice address
145 DEN CREEK TRL, FAYETTEVILLE, GA 30215-4624
(404) 307-9553
Mailing address
145 DEN CREEK TRL, FAYETTEVILLE, GA 30215-4624
(404) 307-9553
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007946
GA
Other
Enumeration date
06/22/2015
Last updated
06/22/2015
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