Individual
MS. AUDIENE M STONEHAM NANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.I.
Contact information
Practice address
311 HOLMES ST, SOUTH FULTON, TN 38257-2139
(270) 472-9515
(270) 472-9519
Mailing address
311 HOLMES ST, SOUTH FULTON, TN 38257-2139
(270) 472-9515
(270) 472-9519
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/16/2007
Last updated
05/12/2014
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