Individual
MRS. LISA ROSE PLUNKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
805 N CHARLOTTE ST, DICKSON, TN 37055-1008
(615) 441-6074
(615) 446-7250
Mailing address
1347 WESTFIELD RD, DICKSON, TN 37055-5820
(615) 446-9558
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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