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Individual

MS. NENA H FENNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MED.CCC-SLP L

Contact information

Practice address
2386 CLOWER ST, BUILD. E, SUITE 102, SNELLVILLE, GA 30078-6134
(770) 985-9050
(770) 985-9223
Mailing address
1370 BLYTH WALK, SNELLVILLE, GA 30078-5923
(770) 736-5251

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP001029
GA

Other

Enumeration date
11/07/2006
Last updated
07/08/2007
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