Individual
MADISON ERICA WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
889 BELL RD STE A, ANTIOCH, TN 37013-3101
(615) 730-6464
Mailing address
269 TOOK DR, ANTIOCH, TN 37013-1946
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/10/2020
Last updated
07/10/2020
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