Individual
MS. KRISTEN BROOKE SHORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
34 GRACEY ST, SPARTA, TN 38583-2046
(931) 836-2211
(931) 836-2230
Mailing address
PO BOX 298, SPARTA, TN 38583-0298
(931) 836-2211
(931) 836-2230
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SP 0000003641
TN
Other
Enumeration date
06/11/2008
Last updated
06/11/2008
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