Individual
LACEY CHILDRESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
1111 BOSCOBEL ST, NASHVILLE, TN 37206-2913
(601) 919-6978
Mailing address
1111 BOSCOBEL ST, NASHVILLE, TN 37206-2913
(601) 919-6978
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4010
TN
Other
Enumeration date
02/12/2009
Last updated
02/12/2009
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