Individual
MARY DEBORAH WHITMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2354 CHESTOA PIKE, ERWIN, TN 37650-7920
(423) 330-0229
Mailing address
2354 CHESTOA PIKE, ERWIN, TN 37650-7920
(423) 330-0229
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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