Individual
OLIVIA BROOKE GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
5817 HWY 412 S, BELLS, TN 38006-3974
(731) 697-0586
Mailing address
70 PECAN ST, ALAMO, TN 38001-1403
(731) 592-1052
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7944
TN
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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