Individual
STEPHANIE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
514 WILLOW CREEK DR, TEMPLE, GA 30179-3972
(678) 988-0772
Mailing address
514 WILLOW CREEK DR, TEMPLE, GA 30179-3972
(678) 988-0772
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
GA
Other
Enumeration date
09/21/2019
Last updated
09/21/2019
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