MISTICA RAE NICELY

KNOXVILLE, TN
NPI1225399918
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2012-05-30
Last Update Date2012-05-30
Business Address
-- MISTICA RAE NICELY BA
201 W SPRINGDALE AVE
KNOXVILLE, TN 37917-5158
Phone number: 865-637-9711
Mailing Address
-- MISTICA RAE NICELY BA
201 W SPRINGDALE AVE
KNOXVILLE, TN 37917-5158
Phone number: 865-637-9711
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