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1336277003
STACEY COULTER
CLARKSVILLE, TN
NPI
1336277003
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TN PE11788)
Enumeration Date
2007-03-02
Last Update Date
2007-07-08
Business Address
Mrs. STACEY COULTER LPE
511 8TH ST
CLARKSVILLE, TN 37040-3093
Phone number: 931-920-7200
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Mailing Address
Mrs. STACEY COULTER LPE
511 8TH ST
CLARKSVILLE, TN 37040-3093
Phone number: 931-920-7200
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