BONITA MARIE SOUTHARD

MADISON, TN
NPI1124359450
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: TN  085586459)
Enumeration Date2010-01-27
Last Update Date2010-01-27
Business Address
MS. BONITA MARIE SOUTHARD
620 GALLATIN PIKE S
MADISON, TN 37115-4013
Phone number: 615-460-4300
Mailing Address
MS. BONITA MARIE SOUTHARD
620 GALLATIN PIKE S
MADISON, TN 37115-4013
Phone number: 615-460-4300
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