Individual
MISS MILLEENA FONSECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CF-SLP
Contact information
Practice address
851 PROFESSIONAL PARK DR, CLARKSVILLE, TN 37040-5257
(931) 542-2168
Mailing address
310 CORPORATE DR STE 101, KNOXVILLE, TN 37923-4638
(334) 400-7079
(865) 769-0801
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7614
TN
Other
Enumeration date
09/30/2021
Last updated
05/24/2023
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