Individual
MRS. JULIA RENEE PLANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2826 AMNICOLA HWY, CHATTANOOGA, TN 37406-3605
(423) 417-3273
Mailing address
7524 ERIC DR, CHATTANOOGA, TN 37421-4102
(540) 578-1586
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
779560460322
ALLEGIANCE
TN
Enumeration date
07/19/2021
Last updated
07/19/2021
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