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1023236296
JILL CUSACK
KNOXVILLE, TN
NPI
1023236296
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-04-23
Last Update Date
2007-07-08
Business Address
-- JILL CUSACK
201 W SPRINGDALE AVE
KNOXVILLE, TN 37917-5158
Phone number: 865-637-9711
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Mailing Address
-- JILL CUSACK
201 W SPRINGDALE AVE
KNOXVILLE, TN 37917-5158
Phone number: 865-637-9711
Copy
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