Individual
DONALD LUKE DEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
146 TIMBER CREEK DR STE 101, CORDOVA, TN 38018-4396
(901) 654-5693
Mailing address
146 TIMBER CREEK DR STE 101, CORDOVA, TN 38018-4396
(901) 654-5693
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
1871250
TN
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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