Individual
HOLLY MARIE NILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
161 HATCHER LN, CLARKSVILLE, TN 37043-5987
(931) 542-2168
(931) 542-2206
Mailing address
161 HATCHER LN, CLARKSVILLE, TN 37043-5987
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4797
TN
Other
Enumeration date
08/02/2012
Last updated
08/02/2012
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