Individual
MRS. MARY LAREMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, LADAC II
Contact information
Practice address
865 GRACEY AVE, CLARKSVILLE, TN 37040-4144
(931) 802-9133
Mailing address
865 GRACEY AVE, CLARKSVILLE, TN 37040-4144
(931) 802-9133
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1516
TN
Other
Enumeration date
03/22/2022
Last updated
03/22/2022
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