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1104468180
KELLY J MEDLIN
KINGSPORT, TN
NPI
1104468180
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TN 4584)
Enumeration Date
2019-10-11
Last Update Date
2019-10-11
Business Address
KELLY J MEDLIN LPC
2001 E STONEBROOK PL
KINGSPORT, TN 37660-4000
Phone number: 423-224-1000
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Mailing Address
KELLY J MEDLIN LPC
1167 SPRATLIN PARK DR
GRAY, TN 37615-6205
Phone number: 423-467-3600
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