Individual
KAITLIN LEIGH DEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 N MAIN ST, TENNESSEE RIDGE, TN 37178-4003
(931) 721-3312
Mailing address
1330 N MAIN ST, TENNESSEE RIDGE, TN 37178-4003
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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