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Individual

LAPORSCHE ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
101 UNIVERSITY AVE APT 103, CLARKSVILLE, TN 37040-3411
(731) 494-7872
Mailing address
101 UNIVERSITY AVE APT 103, CLARKSVILLE, TN 37040-3411
(731) 494-7872

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
10/10/2024
Last updated
10/10/2024
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