Individual
TALIAH CLINTOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 ALFREDO DR UNIT A, CLARKSVILLE, TN 37042-2750
(931) 269-2396
Mailing address
130 ALFREDO DR UNIT A, CLARKSVILLE, TN 37042-2750
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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