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1194144238
LASTACIA PEELE
CLARKSVILLE, TN
NPI
1194144238
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
2014-04-15
Last Update Date
2014-04-15
Business Address
LASTACIA PEELE
118 UNION ST
CLARKSVILLE, TN 37040-5115
Phone number: 931-647-8257
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Mailing Address
LASTACIA PEELE
410 AMBROSE DR
CLARKSVILLE, TN 37042-5101
Phone number: 931-378-1868
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