Individual
RACHAEL MAZIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
142 LAKESHORE CIR, BUMPUS MILLS, TN 37028-6158
(708) 595-7758
Mailing address
130 ALFREDO DR STE A, CLARKSVILLE, TN 37042-2750
(931) 548-7097
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/14/2023
Last updated
04/14/2023
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