Individual
CAROLINE L CARMICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 FRANK T WILLIAMS LANE, JOHNSON CITY, TN 37601
(855) 832-6727
Mailing address
115 FRANK T WILLIAMS LN, JOHNSON CITY, TN 37601-8123
(423) 440-5456
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-127653
TN
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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