Individual
STEPHANIE MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
207 W BLACKWELL ST, TULLAHOMA, TN 37388-3395
(931) 461-0290
Mailing address
207 W BLACKWELL ST, TULLAHOMA, TN 37388-3395
(931) 461-0290
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
107119019
TN
Other
Enumeration date
06/04/2014
Last updated
06/04/2014
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