Individual
CORSICA POLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1535 N MOUNT JULIET RD, MT JULIET, TN 37122-3315
(347) 277-1925
(347) 277-1925
Mailing address
1827 HOLTS CT, MURFREESBORO, TN 37128-8508
(347) 277-1925
(347) 277-1925
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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