Individual
JENNIE REAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
136 FLAT FORK RD, WARTBURG, TN 37887-3200
(423) 622-1551
(423) 622-1556
Mailing address
PO BOX 8114, CHATTANOOGA, TN 37414-0114
(423) 622-1551
(423) 622-1556
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2665
TN
Other
Enumeration date
07/18/2011
Last updated
07/18/2011
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