Individual
NICOLETTE ADONIA EWING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1520 GROVE ST, LOUDON, TN 37774-1575
(865) 452-5436
Mailing address
1204 FOLKSTONE PL, KNOXVILLE, TN 37931-4348
(865) 693-6553
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP2242
TN
Other
Enumeration date
08/29/2008
Last updated
08/29/2008
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