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1255057154
JAMIE TEDDER
JOHNSON CITY, TN
NPI
1255057154
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: VA 0810007969)
Enumeration Date
2022-10-13
Last Update Date
2022-10-13
Business Address
JAMIE TEDDER PhD
809 LAMONT ST BLDG 162
JOHNSON CITY, TN 37604-5453
Phone number: 423-926-1171
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Mailing Address
JAMIE TEDDER PhD
809 LAMONT ST BLDG 162
JOHNSON CITY, TN 37604-5453
Phone number:
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