Individual
LAURA PACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5104 GENERAL YEAGER DR, MURFREESBORO, TN 37129-0624
(615) 692-4306
Mailing address
5104 GENERAL YEAGER DR, MURFREESBORO, TN 37129-0624
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9121
TN
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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