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Individual

SUZANNE CLARK MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
2331 MOLLY TRL, MURFREESBORO, TN 37128-8521
(615) 896-8119
(615) 896-8119
Mailing address
2331 MOLLY TRL, MURFREESBORO, TN 37128-8521
(615) 896-8119
(615) 896-8119

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000001196
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3080757
BCBS
TN
01
46-00008
UHC
TN
Enumeration date
09/21/2007
Last updated
09/21/2007
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