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1215914502
AMANDA M MONVILLE
TALBOTT, TN
NPI
1215914502
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: TN 2632)
Enumeration Date
2005-12-28
Last Update Date
2007-07-08
Business Address
-- AMANDA M MONVILLE
6350 W ANDREW JOHNSON HWY
TALBOTT, TN 37877-8605
Phone number: 423-587-7337
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Mailing Address
-- AMANDA M MONVILLE
DEPARTMENT 888182
KNOXVILLE, TN 37995-0001
Phone number: 800-355-3565
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