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Individual

KIMBERLY LAMAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
401 S MOUNT JULIET RD STE 235-118, MT JULIET, TN 37122-6359
(877) 504-4141
Mailing address
4037 BIRCHFIELD PL, ANTIOCH, TN 37013-5085
(901) 603-2473

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
11/06/2024
Last updated
11/06/2024
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