Individual
KAILEE JORGENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
851 PROFESSIONAL PARK DR, CLARKSVILLE, TN 37040-5257
(931) 542-2168
(931) 542-2206
Mailing address
3805 CADIZ RD, HOPKINSVILLE, KY 42240-8598
(928) 651-8896
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
11418
NC
225X00000X
Occupational Therapist
Primary
8202
TN
Other
Enumeration date
06/21/2021
Last updated
12/02/2024
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