Individual
KATIE LONG MARCUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
12485 DAISYWOOD DR, KNOXVILLE, TN 37932-1830
(865) 804-1710
Mailing address
12485 DAISYWOOD DR, KNOXVILLE, TN 37932-1830
(865) 804-1710
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000003274
TN
235Z00000X
Speech-Language Pathologist
23596
CA
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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