Individual
TARA DENISE BORDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
450 GOODWILL RD SE LOT 13, CLEVELAND, TN 37323-8319
(423) 457-7234
Mailing address
450 GOODWILL RD SE LOT 13, CLEVELAND, TN 37323-8319
(423) 457-7234
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/02/2022
Last updated
03/02/2022
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