Individual
LASYDNIA SHANTELL MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1925 ASHLAND CITY RD APT 726, CLARKSVILLE, TN 37043-1602
(731) 432-1632
Mailing address
1925 ASHLAND CITY RD APT 726, CLARKSVILLE, TN 37043-1602
(731) 432-1632
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/13/2024
Last updated
03/13/2024
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