Individual
MYRASUE GAIL MASHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
715 2ND ST, LAWRENCEBURG, TN 38464-2905
(931) 279-2653
Mailing address
715 2ND ST, LAWRENCEBURG, TN 38464-2905
(931) 279-2653
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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