Individual
MRS. MARY ANN ANN RONCZKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS - SLP
Contact information
Practice address
444 ONE ELEVEN PLACE, COOKEVILLE, TN 38506
(931) 525-6655
Mailing address
444 ONE ELEVEN PLACE, COOKEVILLE, TN 38506
(931) 525-6655
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SA2268
FL
235Z00000X
Speech-Language Pathologist
SP 4210
TN
235Z00000X
Speech-Language Pathologist
Primary
SP4210
TN
Other
Enumeration date
01/22/2011
Last updated
05/22/2012
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