Individual
MRS. WANDA ANITA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 AUTUMNWOOD BLVD, CLARKSVILLE, TN 37042-1704
(931) 436-3213
Mailing address
1700 AUTUMNWOOD BLVD, CLARKSVILLE, TN 37042-1704
(931) 436-3213
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11506
TN
Other
Enumeration date
03/26/2019
Last updated
03/26/2019
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