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Angela Rena States

Speech-Language Pathologist, in Columbia, TN. Individual provider (NPI-1).

NPI number1801034210
StatusActive
Last updated in NPPESJan 23, 2009

Details

NPI
1801034210
Entity type
Individual (NPI-1)
Name
Angela Rena States
Sex
Female
Sole proprietor
No
Enumeration date
Jan 23, 2009
Last updated
Jan 23, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,4015TNYes

Practice location

1121 Trotwood Ave
Columbia, TN 38401-1803

Phone 931-490-7770

Mailing address

308 Cedarcreek Dr
Nashville, TN 37211-6650

Phone 615-445-3017

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