Individual
LUCINDA ANN EARLYWINE I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1661 BALTIMORE DR APT D, CLARKSVILLE, TN 37043-6613
(765) 977-0458
Mailing address
1661 BALTIMORE DR APT D, CLARKSVILLE, TN 37043-6613
(765) 977-0458
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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