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Organization

SHINING STAR THERAPY SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MADISON JOHNSON M.ED. CCC-SLP (OWNER, SPEECH-LANGUAGE PATHOLOGIST)
(706) 491-5409
Entity
Organization

Contact information

Practice address
516 OCONEE LN, COMMERCE, GA 30529-4182
(706) 491-5409
Mailing address
516 OCONEE LN, COMMERCE, GA 30529-4182

Taxonomy

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

Other

Enumeration date
06/02/2016
Last updated
09/12/2024
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