Individual
TYRONDA WILKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
621 MEMORIAL DR APT 1903, CHATTANOOGA, TN 37415-5528
(423) 933-4041
Mailing address
621 MEMORIAL DR, 1903, CHATTANOOGA, TN 37415-5521
(423) 933-4041
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/27/2015
Last updated
10/06/2016
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