Individual
ELIZABETH JUSTICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6020 LYONS VIEW PIKE, KNOXVILLE, TN 37919-6214
(606) 571-6513
Mailing address
1634 MUDDY CREEK RD, DANDRIDGE, TN 37725-6602
(606) 571-6513
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/12/2019
Last updated
11/17/2020
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