Individual
MRS. BLESSING ADEBUSOLA EMILOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
498 W 4TH ST, COOKEVILLE, TN 38501-2323
(931) 267-7952
Mailing address
498 W 4TH ST, COOKEVILLE, TN 38501-2323
(931) 267-7952
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/04/2024
Last updated
05/04/2024
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