Individual
MRS. SARAH N BIRDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
403 PRINCETON RD STE 3, JOHNSON CITY, TN 37601-2040
(423) 202-3622
(423) 631-0019
Mailing address
403 PRINCETON RD STE 3, JOHNSON CITY, TN 37601-2040
(423) 202-3622
(423) 631-0019
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-26567
TN
Other
Enumeration date
06/27/2017
Last updated
06/27/2017
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