Individual
MORIAH TEDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
628 CHERYL AVE, MADISON, TN 37115-4114
(502) 314-2628
Mailing address
628 CHERYL AVE, MADISON, TN 37115-4114
(502) 314-2628
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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