Individual
JEREMY RAY FRALIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA CCC-SLP
Contact information
Practice address
1264 E COLLEGE ST, PULASKI, TN 38478-4540
(931) 698-0976
Mailing address
1264 E COLLEGE ST, PULASKI, TN 38478-4540
(931) 698-0976
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3155
TN
Other
Enumeration date
06/13/2013
Last updated
06/13/2013
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