Individual
MRS. JORDAN FLORENCIA WILM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
10721 CHAPMAN HWY STE 22, SEYMOUR, TN 37865-4767
(865) 579-2293
(865) 579-2295
Mailing address
10721 CHAPMAN HWY STE 22, SEYMOUR, TN 37865-4767
(865) 579-2293
(865) 579-2295
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6499
TN
Other
Enumeration date
05/15/2019
Last updated
06/11/2019
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