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Individual

JERICA STYS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED

Contact information

Practice address
310 CORPORATE DR # 101, KNOXVILLE, TN 37923-4638
(865) 693-5622
Mailing address
600 VICTORY GARDEN DR APT A4, TALLAHASSEE, FL 32301-3252
(321) 412-7119

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9943
FL

Other

Enumeration date
02/08/2021
Last updated
03/03/2026
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