Individual
SUSAN WILLIAMSON JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.,CCC/SLP
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
(901) 577-7438
Mailing address
1801 GALLOWAY AVE, MEMPHIS, TN 38112-5036
(901) 276-7015
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP0000000473
TN
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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