Individual
GRACE TRAINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2329 PROSSER RD, KNOXVILLE, TN 37914-3324
(912) 665-4673
(877) 829-0884
Mailing address
1320 PARK GLEN RD, KNOXVILLE, TN 37919-8258
(912) 665-4673
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7995
TN
Other
Enumeration date
06/15/2023
Last updated
07/24/2023
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