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1194945501
JOHN TIMOTHY SIVILS
CHATTANOOGA, TN
NPI
1194945501
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-04-26
Last Update Date
2007-07-08
Business Address
-- JOHN TIMOTHY SIVILS
2347 ROSSVILLE BLVD
CHATTANOOGA, TN 37408-2250
Phone number: 423-265-3122
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Mailing Address
-- JOHN TIMOTHY SIVILS
7505 FLORENCE DR
HIXSON, TN 37343-2474
Phone number:
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