Individual
SAMANTHA LYNN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
U
Contact information
Practice address
148 BRICK MILL RD, MARYVILLE, TN 37801-1000
(865) 321-2557
Mailing address
148 BRICK MILL RD, MARYVILLE, TN 37801-1000
(865) 321-2557
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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