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Individual

KENDRA OTIS WOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
8208 BROKEN ARROW DR, KNOXVILLE, TN 37923-1201
(850) 445-9096
Mailing address
8208 BROKEN ARROW DR, KNOXVILLE, TN 37923-1201
(850) 445-9096

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA9945
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001435700
FL
Enumeration date
07/30/2009
Last updated
09/23/2011
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