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1003643115
CHRISTOPER MAURICE LYLE
CORDOVA, TN
NPI
1003643115
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: TN 1628)
Enumeration Date
2024-09-14
Last Update Date
2024-09-14
Business Address
MR. CHRISTOPER MAURICE LYLE LADAC II
912 DALEMORE LN
CORDOVA, TN 38018-8238
Phone number: 901-653-8352
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Mailing Address
MR. CHRISTOPER MAURICE LYLE LADAC II
912 DALEMORE LN
CORDOVA, TN 38018-8238
Phone number: 901-653-8352
Copy
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