Individual
MACKENZIE CULVER GERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1340 NUCKOLLS RD, BOLIVAR, TN 38008-1406
(731) 571-9093
Mailing address
1340 NUCKOLLS ROAD, BOLIVAR, TN 38008
(731) 571-9093
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5930
TN
Other
Enumeration date
08/07/2017
Last updated
07/21/2022
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