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Organization
TM COLLABORATIVE NETWORK LLC
Active
Organization
TM COLLABORATIVE NETWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLYNN MATHIS LMSW, LADACII, QCS (MANAGED MEMBER)
(509) 435-6699
Entity
Organization
Contact information
Practice address
1138 N GERMANTOWN PKY, SUITE 101 - #283, CORDOVA, TN 38016
(509) 435-6699
Mailing address
1138 N GERMANTOWN PKY, SUITE 101 - #283, CORDOVA, TN 38016
(509) 435-6699
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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