Individual
KAITLYN ROCKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
397 TINY TOWN RD STE B, CLARKSVILLE, TN 37042-5636
(931) 999-7400
Mailing address
397 TINY TOWN RD STE B, CLARKSVILLE, TN 37042-5636
(931) 999-7400
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G62050197934
DRIVERS LICENSE
IL
Enumeration date
11/28/2022
Last updated
11/28/2022
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