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1174206320
JODIE MARIE HENDERSON
JOHNSON CITY, TN
NPI
1174206320
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TN 6603)
Enumeration Date
2023-08-14
Last Update Date
2023-08-14
Business Address
JODIE MARIE HENDERSON LPC-MHSP TEMP
508 E UNAKA AVE
JOHNSON CITY, TN 37601-4033
Phone number: 423-810-0961
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Mailing Address
JODIE MARIE HENDERSON LPC-MHSP TEMP
508 E UNAKA AVE
JOHNSON CITY, TN 37601-4033
Phone number: 423-810-0961
Copy
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