Individual
SARA CLAIRE FENNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
335 OLD RAIL RD, BLOOMINGDALE, GA 31302-4025
(912) 421-0140
Mailing address
103 IVANHOE DR, THOMASVILLE, GA 31792-8718
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
220079
AL
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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