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Individual

JESSICA R QUEEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., CCC-SLP

Contact information

Practice address
301 WOLVERINE TRL, SUITE 201, SMYRNA, TN 37167-5656
(615) 220-5796
Mailing address
1901 MURFREESBORO PIKE, APT 141, NASHVILLE, TN 37217-3299
(615) 220-5796

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4167
TN

Other

Enumeration date
04/26/2012
Last updated
04/26/2012
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