Individual
ALEXIS MICHELLE DERMADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2965 FORT CAMPBELL BLVD STE 600, CLARKSVILLE, TN 37042-0405
(844) 854-1116
Mailing address
2145 OLD RUSSELLVILLE PIKE, CLARKSVILLE, TN 37043-5822
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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