Individual
KIRSTEN SHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1680 S JEFFERSON AVE, COOKEVILLE, TN 38506-2526
(931) 288-2422
Mailing address
107 MEADOWLAND DR, MANCHESTER, TN 37355-3778
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
TN
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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