Individual
MISS ROSANNA CANDACE DUKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2122 CIRCLE DR, COLUMBIA, TN 38401-4430
(931) 797-2453
Mailing address
114 N HIGH ST, MOUNT PLEASANT, TN 38474-1137
(931) 797-2453
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/29/2020
Last updated
04/29/2020
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