Individual
MS. REGAN MOORE BERNARDONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2122 CIRCLE DR, COLUMBIA, TN 38401-4430
(931) 490-1480
Mailing address
2535 FRY BRANCH RD, LYNNVILLE, TN 38472-5334
(912) 508-1329
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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