Individual
GRACE BENEDICT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
636 LAUREL LN, MURFREESBORO, TN 37127-6420
(615) 330-7220
Mailing address
636 LAUREL LN, MURFREESBORO, TN 37127-6420
(615) 330-7220
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1219
TN
103TS0200X
School Psychologist
000617457
TN
Other
Enumeration date
04/05/2022
Last updated
04/02/2023
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