Individual
MRS. TERA LEE OVERCAST-DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1803 N JACKSON ST, TULLAHOMA, TN 37388-2201
(931) 393-5919
(931) 393-5902
Mailing address
1803 N JACKSON ST, TULLAHOMA, TN 37388-2201
(931) 393-5919
(931) 393-5902
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
TN
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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