Individual
KARA CHEYENNE MIDDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 DUNBAR CAVE RD STE AB, CLARKSVILLE, TN 37043-8862
(931) 538-3252
Mailing address
412 LAWRENCE CIR UNIT A, FORT CAMPBELL, KY 42223-1248
(706) 766-5663
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/06/2023
Last updated
07/17/2024
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