Individual
MS. JILL OWENBY PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
377 SCHOOL RD, WHITE BLUFF, TN 37187-9023
(615) 740-5775
(615) 797-6400
Mailing address
377 SCHOOL RD, WHITE BLUFF, TN 37187-9023
(615) 740-5775
(615) 797-6400
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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