Individual
CHANDRA MCMULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
183 FIDDLERS LN, KINGSTON, TN 37763-4020
(865) 376-2296
(865) 376-0369
Mailing address
110 LAKEWOOD LN, HARRIMAN, TN 37748-5437
(865) 376-2296
(865) 376-0369
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMT0000000704
TN
Other
Enumeration date
02/14/2008
Last updated
02/14/2008
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