Individual
REILLY CAROLINA MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6722 MALONE CREEK DR, KNOXVILLE, TN 37931-3402
(865) 328-0843
Mailing address
6722 MALONE CREEK DR, KNOXVILLE, TN 37931-3402
(865) 328-0843
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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