Individual
MARY CULLEN SERVODIDIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 CHURCH ST STE 300, NASHVILLE, TN 37203-2285
(615) 840-5129
Mailing address
1110 STAINBACK AVE, NASHVILLE, TN 37207-5722
(615) 840-5129
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5404
TN
Other
Enumeration date
03/14/2021
Last updated
03/14/2021
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