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Individual

MRS. CAROLYN DRAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
S.L.P.

Contact information

Practice address
6057 WEST ANDREW JOHNSON HIGHWAY, SUITE 4, TALBOTT, TN 37877
(423) 586-9495
Mailing address
6057 WEST ANDREW JOHNSON HIGHWAY, SUITE 4, TALBOTT, TN 37877
(423) 586-9495

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1990
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
446679
TN
Enumeration date
10/03/2006
Last updated
07/09/2007
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