Individual
MANDY REBECCA RENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
719 COX HOLLOW RD, KINGSPORT, TN 37663-3152
(423) 349-0469
Mailing address
719 COX HOLLOW RD, KINGSPORT, TN 37663-3152
(423) 349-0469
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3835
TN
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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