Individual
CLARA ELIZABETH WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
960 MADDOX SIMPSON PKWY, LEBANON, TN 37090-0751
(615) 444-0597
Mailing address
4382 UNION CAMP RD, LAFAYETTE, TN 37083-3704
(615) 655-3749
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB856056
TN
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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