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Individual

AMANDA WALLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9041 EXECUTIVE PARK DR STE 104, KNOXVILLE, TN 37923-4603
(865) 236-0103
Mailing address
PO BOX 4566, ONEIDA, TN 37841-4566
(423) 319-8489

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7977
TN

Other

Enumeration date
06/12/2023
Last updated
06/12/2023
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