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1013254531
DIANA ALLISON SOUTHER
BRISTOL, TN
NPI
1013254531
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-01-04
Last Update Date
2024-09-19
Business Address
DIANA ALLISON SOUTHER MS
1745 KING COLLEGE RD
BRISTOL, TN 37620-2736
Phone number: 423-328-1289
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Mailing Address
DIANA ALLISON SOUTHER MS
1745 KING COLLEGE RD
BRISTOL, TN 37620-2736
Phone number: 423-328-1289
Copy
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