Individual
MS. STEPHANIE ANN COSTLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
731 MONROE ST, CLARKSVILLE, TN 37040-4221
(740) 249-7953
Mailing address
731 MONROE ST, CLARKSVILLE, TN 37040-4221
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
994
TN
Other
Enumeration date
08/10/2017
Last updated
05/19/2022
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