Individual
JULIE CAMILLE MILLSAPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPEECH PATHOLOGIST
Contact information
Practice address
2301 JACKSBORO PIKE, LA FOLLETTE, TN 37766-2959
(423) 566-2250
(423) 566-5896
Mailing address
240 COUNTRY RUN CIR, POWELL, TN 37849-5424
(865) 938-3008
(423) 566-5896
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3075
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP3075
SPEECH THERAPY LICENSE #
TN
Enumeration date
04/17/2007
Last updated
07/08/2007
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