Individual
BRIANA LAVACOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
235 DUNBAR CAVE RD STE B, CLARKSVILLE, TN 37043-8829
(931) 444-3583
Mailing address
235 DUNBAR CAVE RD STE B, CLARKSVILLE, TN 37043-8829
(931) 444-3583
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
10477
TN
1041C0700X
Clinical Social Worker
Primary
7863
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
N/A
—
Enumeration date
04/12/2019
Last updated
05/05/2022
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