Individual
MICHELLE K FOWKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
6555 QUINCE RD STE 200, MEMPHIS, TN 38119-8202
(901) 515-5900
Mailing address
6555 QUINCE RD STE 200, MEMPHIS, TN 38119-8202
(901) 515-5900
(901) 515-5949
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2572
TN
Other
Enumeration date
06/04/2020
Last updated
01/28/2021
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