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1104860204
TERRY L WINBUSH
JACKSON, TN
NPI
1104860204
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: TN 0347)
Enumeration Date
2006-06-16
Last Update Date
2009-08-21
Business Address
TERRY L WINBUSH LDC
238 SUMMAR DR
JACKSON, TN 38301-3906
Phone number: 731-935-8200
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Mailing Address
TERRY L WINBUSH LDC
1804 HIGHWAY 45 BYPASS SUITE 604
JACKSON, TN 38305-4436
Phone number: 731-660-8755
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