Individual
MARY ENSMINGER LOOMIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
118 N PETERS RD STE 174, KNOXVILLE, TN 37923
(318) 381-5858
Mailing address
8913 CHIMNEY POINT DR, KNOXVILLE, TN 37922-1402
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6405
TN
Other
Enumeration date
04/19/2018
Last updated
06/16/2018
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