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1063403533
JAY RICHARD SHILLING
JOHNSON CITY, TN
NPI
1063403533
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TN LSW00091)
Enumeration Date
2005-11-02
Last Update Date
2007-07-08
Business Address
Mr. JAY RICHARD SHILLING LCSW
1416 S ROAN ST OAKS CASTLE CLINIC
JOHNSON CITY, TN 37601-7332
Phone number: 423-979-6257
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Mailing Address
Mr. JAY RICHARD SHILLING LCSW
PO BOX 1166
JOHNSON CITY, TN 37605-1166
Phone number: 423-979-6265
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