Individual
MARIAH PABST ROEDERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
775 WEATHERLY DR, CLARKSVILLE, TN 37043-8910
(931) 221-3850
Mailing address
775 WEATHERLY DR, CLARKSVILLE, TN 37043-8910
(907) 297-8659
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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