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>> Case Manager/Care Coordinator >> Other Service Providers

Registrant NPI Number: 1932429966

Individual Registrant:
Gender: F
Not Sole Proprietor

Location and contact information for practice:
Tel: 931-796-5916  Fax: --

Contact information for business:
Tel: --  Fax: --

Registration Information:
NPI: 1932429966
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171M00000XOther Service Providers
Case Manager/Care Coordinator

Legacy codes, insurance codes and state license numbers:



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