Individual
MS. KAYLA PELLAR THYNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
88 PANTHER DR, SPARTA, TN 38583-2601
(931) 738-3505
Mailing address
11021 CROSSVILLE HWY, SPARTA, TN 38583-8683
(517) 499-1709
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
146922805
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146922805
DRIVERS LICENSE NUMBER
TN
Enumeration date
08/16/2021
Last updated
08/16/2021
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