Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor |
NPI | 1124493697 |
---|---|
Provider Name | Jennifer Stroud |
First Address | Gallatin, TN 37066-8469 |
Second Address | Gallatin, TN 37066 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2015 |
Last Update Date | 09/12/2015 |