Individual
LADONNA RAYMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
127 S KENTUCKY ST, KINGSTON, TN 37763-2746
(865) 705-8688
Mailing address
408 LAKEWOOD RD, KINGSTON, TN 37763-2209
(865) 809-9452
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5022
TN
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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