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1104896885
ELAINE LENORE ENSIGN
KINGSTON, TN
NPI
1104896885
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: TN P1360)
Enumeration Date
2006-01-25
Last Update Date
2007-07-08
Business Address
-- ELAINE LENORE ENSIGN PhD
1002 BRADFORD WAY
KINGSTON, TN 37763
Phone number: 865-376-1585
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Mailing Address
-- ELAINE LENORE ENSIGN PhD
1002 BRADFORD WAY
KINGSTON, TN 37763
Phone number: 865-376-1585
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