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1003233008
LEANNE BRADDOCK
JACKSON, TN
NPI
1003233008
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: TN 0645)
Enumeration Date
2014-03-27
Last Update Date
2016-06-01
Business Address
LEANNE BRADDOCK LMFT
561 E MAIN ST
JACKSON, TN 38301-6451
Phone number: 901-219-0319
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Mailing Address
LEANNE BRADDOCK LMFT
561 E MAIN ST
JACKSON, TN 38301-6451
Phone number: 901-219-0319
Copy
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