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Individual

KAY D. EASON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MED/CCC-SLP

Contact information

Practice address
304 ELK AVE S, FAYETTEVILLE, TN 37334-3054
(931) 212-3747
Mailing address
521 CORDERS CROSSROADS RD, FAYETTEVILLE, TN 37334-6917
(931) 212-3747

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1699
TN

Other

Enumeration date
10/09/2014
Last updated
10/09/2014
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