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Individual

MRS. JENNIFER CIES MUCKALA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
1215 21ST AVE S, 7302 MCE SOUTH TOWER, NASHVILLE, TN 37232-0014
(615) 343-7464
Mailing address
721 PRIEST PL, FRANKLIN, TN 37067-2698
(615) 343-0872

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP0000002932
TN

Other

Enumeration date
09/08/2009
Last updated
09/08/2009
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