Organization
PROGRESSIVE FAMILIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATARRA BALLARD M.ED. M.ED. (OWNER)
(615) 584-3098
Entity
Organization
Contact information
Practice address
528 THOMAS JEFFERSON CIR, MADISON, TN 37115-2162
(615) 579-5310
(615) 868-4048
Mailing address
528 THOMAS JEFFERSON CIR, MADISON, TN 37115-2162
(615) 579-5310
(615) 868-4048
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
123009
TN
Other
Enumeration date
11/05/2008
Last updated
11/05/2008
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