Individual
THERESA MARIE JUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 DUNBAR CAVE RD STE AB, CLARKSVILLE, TN 37043-8862
(931) 538-3252
Mailing address
120 DUNBAR CAVE RD STE AB, CLARKSVILLE, TN 37043-8862
(931) 538-3252
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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