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Individual

JULIE M NICKELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
EDS, CCC/SLP

Contact information

Practice address
6057 W ANDREW JOHNSON HWY STE 4, TALBOTT, TN 37877-8676
(423) 586-9459
(423) 586-9549
Mailing address
201 RAYFORD CIR, RUTLEDGE, TN 37861-4957
(865) 828-3474

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3443
TN

Other

Enumeration date
07/18/2007
Last updated
07/18/2007
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