Individual
DENISE HARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED. CCC-SLP
Contact information
Practice address
193 TRIXIE ST, RAY CITY, GA 31645-8612
(229) 251-0968
Mailing address
59 TRIXIE ST, RAY CITY, GA 31645-8607
(229) 251-0968
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
PCET001403
GA
235Z00000X
Speech-Language Pathologist
Primary
SLP007198
GA
Other
Enumeration date
01/29/2009
Last updated
01/18/2019
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