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Individual

CHARLA JEAN LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A.CCC-SLP

Contact information

Practice address
9040 EXECUTIVE PARK DR STE 105, KNOXVILLE, TN 37923-4630
(423) 312-9999
(865) 769-0801
Mailing address
9040 EXECUTIVE PARK DR STE 105, KNOXVILLE, TN 37923-4630
(423) 312-9999
(865) 769-0801

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
0000002574
TN
235Z00000X
Speech-Language Pathologist
Primary
SPOOOOOO2574
TN

Other

Enumeration date
05/21/2009
Last updated
08/11/2011
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