Individual
MRS. CAROL ANNE SMITH PROUDFIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2036 US HIGHWAY 45 BYP S, TRENTON, TN 38382-2941
(731) 855-4500
Mailing address
397 MILAN HWY, BRADFORD, TN 38316-9707
(731) 414-5520
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5908
TN
Other
Enumeration date
12/28/2018
Last updated
12/28/2018
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