Individual
MISS NICOLE LEANNE VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1440 LONESOME OAK LN, RUSSELLVILLE, TN 37860-9370
(423) 736-9923
Mailing address
1440 LONESOME OAK LN, RUSSELLVILLE, TN 37860-9370
(423) 736-9923
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4850
TN
Other
Enumeration date
09/30/2016
Last updated
09/30/2016
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