Individual
LORELEI GRACE WETHERELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2085 TURNER RD, WATERTOWN, TN 37184-4623
(772) 579-2552
Mailing address
2085 TURNER RD, WATERTOWN, TN 37184-4623
(772) 579-2552
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
TN
Other
Enumeration date
07/20/2026
Last updated
07/20/2026
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