Milk Guide Lactation Of Tennessee Llc | |
316 E Broad St Cookeville TN 38501-3304 | |
(574) 315-3196 | |
Not Available |
Full Name | Milk Guide Lactation Of Tennessee Llc |
---|---|
Speciality | Counselor |
Location | 316 E Broad St, Cookeville, Tennessee |
Authorized Official Name and Position | Kristin Szerszen (CEO) |
Authorized Official Contact | 5743153196 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Milk Guide Lactation Of Tennessee Llc 10275 Peotone Dr Granger IN 46530-7744 Ph: () - | Milk Guide Lactation Of Tennessee Llc 316 E Broad St Cookeville TN 38501-3304 Ph: (574) 315-3196 |
NPI Number | 1922764992 |
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Provider Enumeration Date | 11/12/2021 |
Last Update Date | 06/16/2022 |
Certification Date | 06/16/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922764992 | NPI | - | NPPES |
0012364 | Other | TN | STATE OF TN (SOS CONTROL #) |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
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