Individual
AMY SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 1ST AVE SOUTH, COLLINWOOD, TN 38450
(931) 724-9000
(731) 724-5492
Mailing address
PO BOX 1258, WAYNESBORO, TN 38485-1258
(931) 253-1110
(256) 664-4280
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4758
TN
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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