Individual
CALLIE ANNETTE MCCLOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1680 S JEFFERSON AVE STE G, COOKEVILLE, TN 38506-2527
(931) 319-9650
Mailing address
1680 S JEFFERSON AVE STE G, COOKEVILLE, TN 38506-2527
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-122784
TN
106S00000X
Behavior Technician
RBT-20-122784
—
Other
Enumeration date
06/19/2020
Last updated
06/19/2020
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