Individual
JENNIE LEONA DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
360 LABORATORY RD, OAK RIDGE, TN 37830-6911
(865) 483-1314
Mailing address
360 LABORATORY RD, OAK RIDGE, TN 37830-6911
(865) 483-1314
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000004950
TN
Other
Enumeration date
05/03/2013
Last updated
05/03/2013
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