Individual
JANET ELAINE JACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
300 LABORATORY ROAD, OAK RIDGE, TN 37830
(865) 482-7698
Mailing address
210 TOQUA GREENS LANE, LOUDON, TN 37774
(865) 274-7777
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2927
TN
Other
Enumeration date
10/17/2006
Last updated
06/23/2011
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