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Organization
BOWLING GREEN THERAPY SERVICES
Active
Organization
BOWLING GREEN THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULETTE DAVIES MS CCC-SLP (OWNER/SPEECH PATHOLOGIST)
(423) 268-5647
Entity
Organization
Contact information
Practice address
123 QUAIL RUN, JOHNSON CITY, TN 37601-5366
(423) 268-5647
Mailing address
123 QUAIL RUN, JOHNSON CITY, TN 37601-5366
(423) 268-5647
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3255
TN
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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