Individual
KATHY J. VANSICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 DUSK CT, NASHVILLE, TN 37221-2363
(615) 673-2043
Mailing address
600 DUSK CT, NASHVILLE, TN 37221-2363
(615) 673-2043
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3073
TN
Other
Enumeration date
02/13/2008
Last updated
02/13/2008
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