Individual
JUIE M OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
177 MOUSE CREEK RD NW, CLEVELAND, TN 37312-3838
(423) 212-3668
Mailing address
177 MOUSE CREEK RD NW, CLEVELAND, TN 37312-3838
(423) 212-3668
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-271086
TN
Other
Enumeration date
12/02/2024
Last updated
01/23/2025
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