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Individual

MRS. VICTORIA LYNN LUNDBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPHT

Contact information

Practice address
118 UNION ST, CLARKSVILLE, TN 37040-5115
(931) 647-8257
Mailing address
2156 BAULING LN, CLARKSVILLE, TN 37040-6586
(931) 802-5659

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
12/29/2011
Last updated
12/29/2011
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