BENITA MADISON

ELLENWOOD, GA
NPI1952561466
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: GA  SLP006366)
Enumeration Date2008-06-10
Last Update Date2022-07-21
Business Address
-- BENITA MADISON SLP
3056 ANVIL BLOCK RD STE 118
ELLENWOOD, GA 30294-2864
Phone number: 404-366-8100
Mailing Address
-- BENITA MADISON SLP
2898 SUMMIT DR
JONESBORO, GA 30236-6247
Phone number: 404-664-2208