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Individual

TASHA RENEE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
301 LOUIS STREET, SUITE 101, KINGSPORT, TN 37660
(423) 246-4600
(423) 246-3311
Mailing address
301 LOUIS ST, SUITE 101, KINGSPORT, TN 37660-5181
(423) 246-4600
(423) 246-3311

Taxonomy

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

Other

Enumeration date
01/24/2011
Last updated
06/23/2011
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