Individual
EMILIE WETICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
1404 GLEN OAKS DR, MEMPHIS, TN 38119-5906
(901) 826-0352
Mailing address
1404 GLEN OAKS DR, MEMPHIS, TN 38119-5906
(901) 826-0352
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2590
TN
Other
Enumeration date
03/23/2022
Last updated
03/25/2022
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