Individual
LOLA VALLEJOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1014 WILLOW CIR, CLARKSVILLE, TN 37043-6854
(931) 429-5010
Mailing address
270 HARPER RD, CLARKSVILLE, TN 37043-6200
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/04/2025
Last updated
12/04/2025
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