Individual
MS. JENNIFER WALKER MIZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,CCC/SLP
Contact information
Practice address
9126 PICKENS GAP RD, KNOXVILLE, TN 37920-9038
(865) 804-2874
(865) 573-8042
Mailing address
9126 PICKENS GAP RD, KNOXVILLE, TN 37920-9038
(865) 804-2874
(865) 573-8042
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1626
TN
Other
Enumeration date
10/02/2015
Last updated
10/02/2015
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