Individual
ANGEL THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP/CCC
Contact information
Practice address
351 STUMPY LN, LEBANON, TN 37090-5339
(423) 622-1551
(423) 622-1556
Mailing address
351 STUMPY LN, LEBANON, TN 37090-5339
(423) 622-1551
(423) 622-1556
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4692
TN
Other
Enumeration date
06/20/2012
Last updated
06/20/2012
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