Individual
ATHENA MARIE CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1240 KINGSPORT HWY, GREENEVILLE, TN 37745-3548
(423) 470-9724
Mailing address
1240 KINGSPORT HWY, GREENEVILLE, TN 37745-3548
(423) 470-9724
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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