Individual
MRS. DANIELLE LARAY RYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2965 OLD SAMS CREEK RD, PEGRAM, TN 37143-6000
(615) 352-4392
Mailing address
2965 OLD SAMS CREEK RD, PEGRAM, TN 37143-6000
(615) 352-4392
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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