SHANTA MARIE HENDERSON

SNELLVILLE, GA
NPI1306007893
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: GA  SLP0067339)
Enumeration Date2008-06-18
Last Update Date2008-06-18
Business Address
-- SHANTA MARIE HENDERSON M.S. CCC-SLP
4044 WATERS END LN
SNELLVILLE, GA 30039-6849
Phone number: 678-524-1883
Mailing Address
-- SHANTA MARIE HENDERSON M.S. CCC-SLP
4044 WATERS END LN
SNELLVILLE, GA 30039-6849
Phone number: 678-524-1883
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