Individual
MRS. SYLVIA ROSE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
118 UNION ST, CLARKSVILLE, TN 37040-5115
(931) 647-8752
Mailing address
118 UNION ST, CLARKSVILLE, TN 37040-5115
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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