Individual
MRS. SANDRA MELISSA CORRAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
139E OLD TRENTON RD, SUITE B, CLARKSVILLE, TN 37043
(931) 624-8132
Mailing address
139 E OLD TRENTON RD STE B, CLARKSVILLE, TN 37043-5845
(931) 624-8132
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/13/2017
Last updated
07/21/2022
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