Individual
BRANDON AARON CLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
215 WESTERLY DR, MOSHEIM, TN 37818-4098
(423) 415-6303
Mailing address
215 WESTERLY DR, MOSHEIM, TN 37818-4098
(423) 415-6303
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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