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1316790462
PAUL WYNN CREWS
DICKSON, TN
NPI
1316790462
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: TN 1610)
Enumeration Date
2024-04-09
Last Update Date
2024-04-09
Business Address
PAUL WYNN CREWS LADACI
250 STATE ST
DICKSON, TN 37055-2082
Phone number: 615-645-1141
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Mailing Address
PAUL WYNN CREWS LADACI
250 STATE ST
DICKSON, TN 37055-2082
Phone number: 615-645-1141
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