Organization
MILK GUIDE LACTATION OF TENNESSEE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN SZERSZEN (CEO)
(574) 315-3196
Entity
Organization
Contact information
Practice address
316 E BROAD ST, COOKEVILLE, TN 38501-3304
(574) 315-3196
Mailing address
10275 PEOTONE DR, GRANGER, IN 46530-7744
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012364
STATE OF TN (SOS CONTROL #)
TN
Enumeration date
11/12/2021
Last updated
06/16/2022
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