TANYA S WILLIS

BOLIVAR, TN
NPI1831441146
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: TN  0000001707)
Enumeration Date2012-10-10
Last Update Date2012-10-10
Business Address
-- TANYA S WILLIS
10815 OLD HIGHWAY 64
BOLIVAR, TN 38008-3599
Phone number: 731-658-2510
Mailing Address
-- TANYA S WILLIS
11415 LAKE HARDEMAN RD
MIDDLETON, TN 38052-4237
Phone number: 731-609-0238
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