| NPI | 1922474493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMEKO WILLIAMS Office Manager 731-300-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 3779) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-08-19 |