Individual
MRS. ANN WINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1884 THORNCROFT DR, GERMANTOWN, TN 38138-3018
(901) 309-9911
(901) 755-0246
Mailing address
1884 THORNCROFT DR, GERMANTOWN, TN 38138-3018
(901) 309-9911
(901) 755-0246
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0486
TN
Other
Enumeration date
08/20/2008
Last updated
08/20/2008
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