Individual
DEANNA NICOLETT MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
605 ANNAS WAY, LEWISBURG, TN 37091-2034
(931) 675-2545
Mailing address
605 ANNAS WAY, LEWISBURG, TN 37091-2034
(931) 675-2545
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/08/2024
Last updated
03/08/2024
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