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1003002734
JONATHAN MCCOLLUM
MARYVILLE, TN
NPI
1003002734
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: TN 6020)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2007-09-17
Last Update Date
2014-06-11
Business Address
JONATHAN MCCOLLUM LCSW
210 SIMMONS ST
MARYVILLE, TN 37801-4750
Phone number: 865-970-9800
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Mailing Address
JONATHAN MCCOLLUM LCSW
1451 DOWELL SPRINGS BLVD
KNOXVILLE, TN 37909-2441
Phone number: 865-374-7123
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