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Individual

MS. REBECCA DAYE CLICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
404 REVERE ST, KINGSPORT, TN 37660-3671
(423) 246-4600
Mailing address
159 STAFFORD RD, GRAY, TN 37615-4209
(423) 246-4600

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP0000003151
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4109879
BLUECROSS BLUESHIELD
TN
Enumeration date
06/29/2006
Last updated
07/08/2007
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