Individual
ANGELA RENA STATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1121 TROTWOOD AVE, COLUMBIA, TN 38401-1803
(931) 490-7770
Mailing address
308 CEDARCREEK DR, NASHVILLE, TN 37211-6650
(615) 445-3017
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4015
TN
Other
Enumeration date
01/23/2009
Last updated
01/23/2009
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