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1083745434
EMILY JEANNE FORNWALT
JOHNSON CITY, TN
NPI
1083745434
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC S6459)
Enumeration Date
2007-03-08
Last Update Date
2024-05-01
Business Address
EMILY JEANNE FORNWALT LCMHC-S
614 W PINE ST
JOHNSON CITY, TN 37604-6608
Phone number: 423-281-4089
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Mailing Address
EMILY JEANNE FORNWALT LCMHC-S
614 W PINE ST
JOHNSON CITY, TN 37604-6608
Phone number: 423-281-4089
Copy
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