Individual
MRS. JULIE ALEXANDRA HENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1077 S MAIN ST, MADISON, GA 30650-2073
(706) 342-1667
Mailing address
1221 WILDFLOWER WAY, MADISON, GA 30650-3466
(706) 342-4276
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006188
GA
Other
Enumeration date
11/09/2008
Last updated
11/09/2008
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