Individual
EMILEE ROSE KETRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
400 CENTERVIEW DR UNIT 334, BRENTWOOD, TN 37027-5483
(423) 863-2715
Mailing address
400 CENTERVIEW DR UNIT 334, BRENTWOOD, TN 37027-5483
(423) 863-2715
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14172100
TN
235Z00000X
Speech-Language Pathologist
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Other
Enumeration date
01/10/2022
Last updated
01/10/2022
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