Individual
TAWANNA CHISM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
48 RAMPART DR, JACKSON, TN 38305-5983
(901) 281-8170
Mailing address
48 RAMPART DR, JACKSON, TN 38305-5983
(901) 281-8170
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2268
TN
Other
Enumeration date
08/28/2008
Last updated
09/23/2019
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