Individual
KIMBERLY SUE BROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1680 S JEFFERSON AVE STE G, COOKEVILLE, TN 38506-2527
(931) 261-0889
Mailing address
142 DIFFICULT LN, LIVINGSTON, TN 38570-5966
(615) 388-2863
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/26/2020
Last updated
01/26/2020
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