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Individual

ROSA A PONCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
210 TIMBER COURT DR APT B, CLARKSVILLE, TN 37043-8835
(931) 980-6316
Mailing address
210 TIMBER COURT DR APT B, CLARKSVILLE, TN 37043-8835

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
03/02/2007
Last updated
07/08/2007
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