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1104074475
TAWANNA CHISM
JACKSON, TN
NPI
1104074475
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TN 2268)
Enumeration Date
2008-08-28
Last Update Date
2019-09-23
Business Address
TAWANNA CHISM SLP
48 RAMPART DR
JACKSON, TN 38305-5983
Phone number: 901-281-8170
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Mailing Address
TAWANNA CHISM SLP
48 RAMPART DR
JACKSON, TN 38305-5983
Phone number: 901-281-8170
Copy
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