Individual
DANIEL LAVELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1224 COLUMBIA AVE, FRANKLIN, TN 37064-3619
(901) 647-2382
Mailing address
4901 TROUSDALE DR, NASHVILLE, TN 37220-1305
(190) 164-7238
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3783
TN
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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