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Individual

MRS. CHARITI JADE SKINNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S. CCC-SLP

Contact information

Practice address
9040 EXECUTIVE PARK DR, SUITE 105, KNOXVILLE, TN 37923-4640
(865) 693-5622
(865) 769-0801
Mailing address
9040 EXECUTIVE PARK DR, SUITE 105, KNOXVILLE, TN 37923-4640
(615) 516-1702
(865) 769-0801

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4576
TN

Other

Enumeration date
06/06/2012
Last updated
06/06/2012
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