Individual
TRECINDA WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPEECH PATHOLOGIST
Contact information
Practice address
1403 TAZEWELL RD, TAZEWELL, TN 37879-3606
(423) 626-7979
(423) 563-5873
Mailing address
1403 TAZEWELL RD, TAZEWELL, TN 37879-3606
(423) 626-7979
(423) 563-5873
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4856
TN
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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