Individual
MADISON SPANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
301 S WATAUGA AVE, ELIZABETHTON, TN 37643-3546
(423) 542-6512
Mailing address
301 S WATAUGA AVE, ELIZABETHTON, TN 37643-3546
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/08/2024
Last updated
04/29/2024
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