Individual
JILLIAN CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
634 N 12TH ST, MURRAY, KY 42071-1651
(270) 767-6404
(615) 577-5654
Mailing address
1321 MURFREESBORO PIKE STE 702, NASHVILLE, TN 37217-2679
(615) 695-2277
(615) 577-5654
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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