Individual
ANGIE LYNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4316 SUMMERCREST BLVD, ANTIOCH, TN 37013-5805
(615) 293-1864
Mailing address
91 JAMES AVE, CLARKSVILLE, TN 37042-3060
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
108070765
TN
Other
Enumeration date
08/02/2009
Last updated
08/02/2009
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