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Individual

MRS. ALEXIS KAITLYN ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1535 N MOUNT JULIET RD, MT JULIET, TN 37122-3315
(615) 560-6622
Mailing address
900 E MAIN ST APT 9, MURFREESBORO, TN 37130-3981
(865) 617-1715

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
TN

Other

Enumeration date
09/19/2022
Last updated
09/19/2022
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