Individual
KAITLIN ELIZABETH YOUROUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
812 GREENWOOD AVE, CLARKSVILLE, TN 37040-4068
(931) 920-7370
Mailing address
3854B SIMMONS CT, FORT CAMPBELL, KY 42223-3824
(270) 300-8472
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/11/2010
Last updated
03/11/2010
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