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Individual

MRS. STEPHANIE L ROBERTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LSP

Contact information

Practice address
805 LAKE GLEN LN, KNOXVILLE, TN 37920-5707
(865) 293-2898
Mailing address
805 LAKE GLEN LN, KNOXVILLE, TN 37920-5707
(865) 293-2898

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
06/11/2012
Last updated
06/11/2012
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