Individual
VERONICA LAVONNE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9809 CALDERDALE DR, CORDOVA, TN 38016-0649
(901) 230-6713
Mailing address
9809 CALDERDALE DR, CORDOVA, TN 38016-0649
(901) 230-6713
(901) 791-4390
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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