Individual
JOHN W. LANCASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1109 E COLLEGE ST, PULASKI, TN 38478-4520
(931) 347-0811
Mailing address
PO BOX 422, KILLEN, AL 35645-0422
(256) 710-7470
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0078
TN
1041C0700X
Clinical Social Worker
6375
TN
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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