Individual
AUDREY BIBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1305 HIGHVUE DR, KNOXVILLE, TN 37932-2556
(865) 809-1719
Mailing address
1305 HIGHVUE DR, KNOXVILLE, TN 37932-2556
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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