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Individual

ELONDON FARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5299 SUNNYSIDE CV, MEMPHIS, TN 38135-2226
(901) 701-0122
Mailing address
5299 SUNNYSIDE CV, MEMPHIS, TN 38135-2226
(901) 701-0122

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-104092
TN

Other

Enumeration date
03/20/2023
Last updated
03/20/2023
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