Individual
MR. MICHAEL LYNN WALDROP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
4028 BOW ST NE, CLEVELAND, TN 37312-4907
(423) 774-5127
Mailing address
4028 BOW ST NE, CLEVELAND, TN 37312-4907
(423) 774-5127
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMT0000000526
TN
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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