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1073128807
FOLUSHO MICAH
BRENTWOOD, TN
NPI
1073128807
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-09-09
Last Update Date
2020-09-09
Business Address
Mr. FOLUSHO MICAH
103 CONTINENTAL PL
BRENTWOOD, TN 37027-1041
Phone number: 615-596-2023
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Mailing Address
Mr. FOLUSHO MICAH
PO BOX 331183
NASHVILLE, TN 37203-7511
Phone number: 615-596-2023
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