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1144322827
MARTHA M. KENNON
JOHNSON CITY, TN
NPI
1144322827
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: AL 293)
Enumeration Date
2006-09-02
Last Update Date
2016-05-09
Business Address
-- MARTHA M. KENNON Ph.D.
119 BOONE RIDGE DR SUITE 201
JOHNSON CITY, TN 37615-4998
Phone number: 423-282-1480
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Mailing Address
-- MARTHA M. KENNON Ph.D.
119 BOONE RIDGE DR SUITE 201
JOHNSON CITY, TN 37615-4998
Phone number: 423-282-1480
Copy
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