Organization
LEMAI DAISY
Active
Organization
LEMAI DAISY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. INGRID LEMAI JACKSON M.ED. (OWNER)
(615) 484-1642
Entity
Organization
Contact information
Practice address
1473 MUTUAL DR, CLARKSVILLE, TN 37042-7090
(800) 341-8864
Mailing address
1473 MUTUAL DR, CLARKSVILLE, TN 37042-7090
(800) 341-8864
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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