Individual
MRS. LISA R WHITTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
902 S HIGH ST, COLUMBIA, TN 38401-3204
(931) 490-6510
(931) 381-0945
Mailing address
902 S HIGH ST, COLUMBIA, TN 38401-3204
(931) 490-6510
(931) 381-0945
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/17/2010
Last updated
05/17/2010
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