Organization
JOBWISE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNISE PARISIEN (CO-OWNER)
(615) 414-4579
Entity
Organization
Contact information
Practice address
5533 MURPHYWOOD XING, ANTIOCH, TN 37013-2391
(161) 541-4457
(615) 414-4579
Mailing address
PO BOX 64, THOMPSONS STATION, TN 37179-0064
(615) 414-4579
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q027164
—
TN
Enumeration date
09/19/2017
Last updated
09/19/2017
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