SHITAL R PRASAD

JACKSON, TN
NPI1902036551
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: TN  SP0000002866)
Enumeration Date2009-07-16
Last Update Date2009-07-16
Business Address
-- SHITAL R PRASAD ms.ccc.slp
121 PHYSICIANS DR
JACKSON, TN 38305-6011
Phone number: 731-664-5050
Mailing Address
-- SHITAL R PRASAD ms.ccc.slp
4 RACHEL DR APT 3
JACKSON, TN 38305-8623
Phone number: 731-660-3471
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