Individual
CARLA MARIE BURROUGHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.,CCC-SLP
Contact information
Practice address
1215 OLD CHARLOTTE RD, WHITE BLUFF, TN 37187-9011
(615) 414-6702
(615) 797-9184
Mailing address
1215 OLD CHARLOTTE RD, WHITE BLUFF, TN 37187-9011
(615) 414-6702
(615) 797-9184
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000002729
TN
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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