Individual
JANET MICHELLE EKSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
807 UNIVERSITY PKWY, ETSU CAMPUS LAMB HALL ROOM 361, JOHNSON CITY, TN 37614-1702
(423) 439-4355
(423) 439-4607
Mailing address
PO BOX 70403, 807 UNIVERSITY PKWY, JOHNSON CITY, TN 37614-1703
(423) 439-4078
(423) 439-4060
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2535
TN
Other
Enumeration date
01/05/2007
Last updated
04/16/2008
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