Individual
JANENE COOCH-STOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5837 LYONS VIEW PIKE, KNOXVILLE, TN 37919-6474
(865) 584-3902
Mailing address
12630 RED CANYON RD, KNOXVILLE, TN 37934-1354
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP0000002264
TN
Other
Enumeration date
09/18/2008
Last updated
09/18/2008
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