Individual
MS. LILIAN MARGARET DESGROSEILLIERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 PROSPERITY DR, KNOXVILLE, TN 37923-4718
(855) 832-6727
Mailing address
1194 DANIEL BOONE DR, MORRISTOWN, TN 37814-2797
(423) 353-0528
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB969045
TN
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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