Individual
DEIRDRE TARA MANSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1090 OLD FLORENCE RD, LAWRENCEBURG, TN 38464-8401
(931) 762-6505
Mailing address
3645 HIGHWAY 43 S, SAINT JOSEPH, TN 38481-7010
(256) 367-0091
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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