Individual
DESIREE MASHBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1090 OLD FLORENCE RD, LAWRENCEBURG, TN 38464-8401
(931) 762-6505
Mailing address
1090 OLD FLORENCE RD, LAWRENCEBURG, TN 38464-8401
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/10/2014
Last updated
03/10/2014
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