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1952987877
PRENTISS STIDHAM
MARYVILLE, TN
NPI
1952987877
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: TN 6740)
Enumeration Date
2021-03-22
Last Update Date
2021-03-22
Business Address
PRENTISS STIDHAM M.ED., CCC-SLP
906 N BRIARCLIFF CIR
MARYVILLE, TN 37803-6445
Phone number: 865-742-4929
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Mailing Address
PRENTISS STIDHAM M.ED., CCC-SLP
PO BOX 6425
MARYVILLE, TN 37802-6425
Phone number: 865-742-4929
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