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1013218965
SAMUEL LEE CARNEY
JACKSON, TN
NPI
1013218965
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: TN SPE00000000000369)
Enumeration Date
2010-11-09
Last Update Date
2010-11-09
Business Address
DR. SAMUEL LEE CARNEY PHD
37 EXECUTIVE DR
JACKSON, TN 38305-2310
Phone number: 731-426-1820
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Mailing Address
DR. SAMUEL LEE CARNEY PHD
37 EXECUTIVE DR
JACKSON, TN 38305-2310
Phone number: 731-426-1820
Copy
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