Individual
ABIGAIL DETWEILER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATR-P
Contact information
Practice address
1075 BLYTHE AVE SE, CLEVELAND, TN 37311-2948
(423) 464-6006
Mailing address
185 20TH ST NE, CLEVELAND, TN 37311-3904
(423) 464-6006
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
24-376
TN
Other
Enumeration date
11/02/2024
Last updated
11/02/2024
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