Individual
TRACY MANSFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS/CCC-SLP
Contact information
Practice address
900 PROFESSIONAL PARK DR, CLARKSVILLE, TN 37040-5244
(931) 552-3002
Mailing address
105 WAGON CT, HENDERSONVILLE, TN 37075-2185
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1358
TN
Other
Enumeration date
03/03/2011
Last updated
03/03/2011
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