Individual
MS. KELLY JUANITA FUSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1132 BEAR BRANCH CIR, JOELTON, TN 37080-2401
(615) 671-6740
(615) 510-1830
Mailing address
1132 BEAR BRANCH CIR, JOELTON, TN 37080-2401
(615) 671-6740
(615) 510-1830
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6439
TN
Other
Enumeration date
11/19/2019
Last updated
02/04/2025
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