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Individual

MRS. DEANNA LUNSFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
700 NUCKOLLS RD, BOLIVAR, TN 38008-1531
(731) 658-4707
Mailing address
5 SHILOH DR, JACKSON, TN 38305-1869

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1273
TN

Other

Enumeration date
08/28/2008
Last updated
08/28/2008
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