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Individual
MELISSA JANE BREEDEN
Active
Individual
MELISSA JANE BREEDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4065
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4065
BOARD OF COMMUNICATION DISORDERS AND SCIENCES
TN
05
—
Q051558
—
TN
Enumeration date
08/22/2019
Last updated
09/05/2019
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