Individual
MRS. MONICA ANN LAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
511 8TH ST, CLARKSVILLE, TN 37040-3093
(931) 920-7200
Mailing address
11037B ROBERTS RD, FORT CAMPBELL, KY 42223-6052
(573) 855-3654
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/05/2017
Last updated
07/05/2017
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