Individual
MISS TAYLOR LEIS DUNNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 UNION ST, CLARKSVILLE, TN 37040-5115
(931) 647-8257
Mailing address
1751 ASHLAND CITY RD APT J79, CLARKSVILLE, TN 37043-4857
(931) 797-8120
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
TN
Other
Enumeration date
12/29/2011
Last updated
12/29/2011
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