Individual
BARBARA CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
713 CHEATHAM ST, SPRINGFIELD, TN 37172-2828
(463) 620-0615
Mailing address
713 CHEATHAM ST, SPRINGFIELD, TN 37172-2828
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
251B00000X
TN
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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