Individual
MILDRED SUE DUKIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
512 MADISON ST, 3, CLARKSVILLE, TN 37040-3671
(615) 604-6000
Mailing address
512 MADISON ST, 3, CLARKSVILLE, TN 37040-3671
(615) 604-6000
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3234
TN
Other
Enumeration date
03/20/2015
Last updated
03/20/2015
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