Individual
NICOLE ISHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
131 HATCHER LN STE A, CLARKSVILLE, TN 37043-5921
(931) 444-1449
Mailing address
131 HATCHER LN STE A, CLARKSVILLE, TN 37043-5921
(931) 444-1449
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/20/2024
Last updated
10/10/2024
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