Individual
MRS. LAURA CHUSTEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., ED.S.
Contact information
Practice address
1820 MEMORIAL CIRCLE, CLARKSVILLE, TN 37043
(931) 920-7333
Mailing address
560 BUCKEYE LN, CLARKSVILLE, TN 37042
(615) 681-7575
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
7214350
TN
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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