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Individual

MRS. TANASI MICHELLE OTERO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., CCC, SLP

Contact information

Practice address
136 SEVEN SPRINGS DR, MOUNT JULIET, TN 37122-3859
(615) 730-7845
Mailing address
136 SEVEN SPRINGS DR, MOUNT JULIET, TN 37122-3859
(615) 730-7845

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3596
TN

Other

Enumeration date
06/19/2007
Last updated
03/28/2014
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