Individual
MRS. JILL MASK PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MACCC-SLP
Contact information
Practice address
1080 HIGHWAY 142, SELMER, TN 38375-6705
(731) 645-9229
Mailing address
1080 HIGHWAY 142, SELMER, TN 38375-6633
(731) 645-9229
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1981
TN
Other
Enumeration date
10/26/2006
Last updated
05/24/2013
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