Individual
ROSEMARY M LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 DUNBAR CAVE RD STE A, CLARKSVILLE, TN 37043-8850
(931) 538-3087
Mailing address
525 NEPTUNE DR APT 606, CLARKSVILLE, TN 37043-2325
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1542437
TN
Other
Enumeration date
06/11/2026
Last updated
06/11/2026
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