Individual
LETIA MICHELE SIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2180 MANGUM RD, MEMPHIS, TN 38134-5810
(901) 377-0101
Mailing address
4919 COLEMAN RD, OLIVE BRANCH, MS 38654-5606
(662) 280-9382
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3171
TN
Other
Enumeration date
12/27/2017
Last updated
12/27/2017
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