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1336761022
KAYLA PENNINGTON TAPIA
KINGSPORT, TN
NPI
1336761022
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Former Name
KAYLA LYNN HALE PENNINGTON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2020-05-15
Last Update Date
2020-05-15
Business Address
KAYLA PENNINGTON TAPIA
605 WATAUGA ST
KINGSPORT, TN 37660-4447
Phone number: 423-408-2601
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Mailing Address
KAYLA PENNINGTON TAPIA
605 WATAUGA ST
KINGSPORT, TN 37660-4447
Phone number:
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