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1265947931
LYNN MANDERSON
NASHVILLE, TN
NPI
1265947931
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MA LDC0000001010)
Enumeration Date
2017-12-04
Last Update Date
2017-12-04
Business Address
LYNN MANDERSON
2424 21ST AVE S
NASHVILLE, TN 37212-5315
Phone number: 615-986-8545
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Mailing Address
LYNN MANDERSON
21 VAUGHNS GAP RD APT 125
NASHVILLE, TN 37205-4308
Phone number: 615-986-8545
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