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1952561466
BENITA MADISON
ELLENWOOD, GA
NPI
1952561466
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA SLP006366)
Enumeration Date
2008-06-10
Last Update Date
2022-07-21
Business Address
-- BENITA MADISON SLP
3056 ANVIL BLOCK RD STE 118
ELLENWOOD, GA 30294-2864
Phone number: 404-366-8100
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Mailing Address
-- BENITA MADISON SLP
2898 SUMMIT DR
JONESBORO, GA 30236-6247
Phone number: 404-664-2208
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