Individual
KELLY WANER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 CHARLOTTE AVE APT 350, NASHVILLE, TN 37209-4094
(217) 430-4282
Mailing address
2700 CHARLOTTE AVE APT 350, NASHVILLE, TN 37209-4094
(217) 430-4282
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
000731244
TN
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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