Individual
ANNALEE ROSE GRAVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1535 N MOUNT JULIET RD, MOUNT JULIET, TN 37122-3315
(615) 560-6622
Mailing address
2095 COOKS RD, MOUNT JULIET, TN 37122-5708
(615) 808-1115
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/16/2024
Last updated
02/16/2024
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