Individual
MRS. NADJA MICHELLE MARION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
213 RHONDA CIR E, CORDOVA, TN 38018-4325
(901) 690-0327
Mailing address
213 RHONDA CIR E, CORDOVA, TN 38018-4325
(901) 690-0327
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103K00000X
Behavior Analyst
—
—
132700000X
Dietary Manager
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558927111
—
TN
Enumeration date
05/29/2019
Last updated
05/29/2019
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