Individual
MARINA FILIMONOVA DEBITY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDS
Contact information
Practice address
129 PONDEROSA DR, MADISONVILLE, TN 37354-7430
(423) 519-0108
Mailing address
129 PONDEROSA DR, MADISONVILLE, TN 37354-7430
(423) 519-0108
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
000538923
TN
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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