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Individual

ADDIE LOUISE CANTRELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
1173 ROCK SPRINGS RD STE 105, SMYRNA, TN 37167-8414
(615) 220-5796
Mailing address
245 LOOP RD, BIG SANDY, TN 38221-5218
(731) 441-5056

Taxonomy

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

Other

Enumeration date
08/05/2020
Last updated
08/05/2020
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