Individual
MS. JESSICA QUALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
302 WESLEY ST STE 8, JOHNSON CITY, TN 37601-1741
(423) 361-1291
Mailing address
302 WESLEY ST STE 8, JOHNSON CITY, TN 37601-1741
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4795
TN
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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