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Individual

MAXI DOUTHAT MORELOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., CCC-SLP

Contact information

Practice address
412 CIRCLE HEIGHTS DR, GREENEVILLE, TN 37745-4109
(423) 787-9633
Mailing address
412 CIRCLE HEIGHTS DR, GREENEVILLE, TN 37745-4109
(423) 787-9633

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000001888
TN

Other

Enumeration date
05/15/2007
Last updated
07/08/2007
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