Individual
KIMBERLY WACHAUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
9041 EXECUTIVE PARK DR STE 126, KNOXVILLE, TN 37923-4603
(567) 356-0032
(865) 769-0801
Mailing address
9041 EXECUTIVE PARK DR STE 126, KNOXVILLE, TN 37923-4603
(567) 356-0032
(865) 769-0801
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5144
TN
Other
Enumeration date
03/03/2014
Last updated
03/03/2014
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