Individual
MRS. ALICIA ANN WASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
2120 EXETER RD, SUITE 110, GERMANTOWN, TN 38138-3922
(901) 624-8677
Mailing address
7892 CROSS PIKE DR, GERMANTOWN, TN 38138-8118
(901) 310-1560
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000002825
TN
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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