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Individual

SUSAN CAROL FLATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
177 MOUSE CREEK RD NW, CLEVELAND, TN 37312-3838
(423) 813-9326
Mailing address
415 HERITAGE HILLS CIR NE, CLEVELAND, TN 37323-5156
(423) 813-9326

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-142323
TN

Other

Enumeration date
11/05/2020
Last updated
06/07/2024
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