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1063155364
AUTUM WADE
JOHNSON CITY, TN
NPI
1063155364
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: TN 000-1410)
Enumeration Date
2022-04-15
Last Update Date
2022-04-15
Business Address
AUTUM WADE
102 N BROADWAY ST
JOHNSON CITY, TN 37601-3525
Phone number: 423-588-9988
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Mailing Address
AUTUM WADE
102 N BROADWAY ST
JOHNSON CITY, TN 37601-3525
Phone number:
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