Individual
MONICA HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 ALFREDO DR STE A, CLARKSVILLE, TN 37042-2750
(224) 242-3418
Mailing address
173 STACKER ST, LEWISBURG, KY 42256-9104
(270) 893-3391
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013688471
—
KY
Enumeration date
08/05/2022
Last updated
08/05/2022
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