Individual
MARIANNE TENNANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7525 LUCAS AVE, EVANS, GA 30809-5514
(801) 669-2524
Mailing address
7525 LUCAS AVE, EVANS, GA 30809-5514
(801) 669-2524
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP013179
GA
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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