Individual
TRACY HENNAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
120 NEWMAN RD, JONESBOROUGH, TN 37659-6531
(423) 788-4468
Mailing address
120 NEWMAN RD, JONESBOROUGH, TN 37659-6531
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5623
TN
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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