Individual
EMILY ELAINE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
86 MAGNOLIA AVE E, MC KENZIE, TN 38201-2152
(940) 395-6991
Mailing address
86 MAGNOLIA AVE E, MC KENZIE, TN 38201-2152
(940) 395-6991
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000003992
TN
Other
Enumeration date
04/26/2011
Last updated
04/26/2011
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