Individual
HANNAH FAITH PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
391 WALDO RD, ROCKWOOD, TN 37854-5809
(865) 851-5207
Mailing address
391 WALDO RD, ROCKWOOD, TN 37854-5809
(865) 851-5207
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
24355104
TN
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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