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Individual

CHRISTINA RENEE DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
1216 LENNIE AVE, MORRISTOWN, TN 37813-5533
(423) 258-4577
Mailing address
1216 LENNIE AVE, MORRISTOWN, TN 37813-5533
(423) 258-4577

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
20-127705
TN

Other

Enumeration date
02/14/2023
Last updated
02/14/2023
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