Individual
AMY STURDIVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 BULLOCK DR, CLARKSVILLE, TN 37040-4309
(931) 647-4286
Mailing address
209 BULLOCK DR, CLARKSVILLE, TN 37040-4309
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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