Individual
CHARLEY MARIE BENEFIELD CLANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBA
Contact information
Practice address
5110 MARYLAND WAY STE 320, BRENTWOOD, TN 37027-7591
(614) 588-9544
Mailing address
5110 MARYLAND WAY STE 320, BRENTWOOD, TN 37027-7591
(614) 588-9544
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
847
TN
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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