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1346015039
ELIZABETH LUSTGARTEN
MARYVILLE, TN
NPI
1346015039
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TN 6187)
Enumeration Date
2023-11-22
Last Update Date
2023-11-22
Business Address
ELIZABETH LUSTGARTEN LPC-MHSP
402 GREENBELT DR
MARYVILLE, TN 37804-5702
Phone number: 865-333-4931
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Mailing Address
ELIZABETH LUSTGARTEN LPC-MHSP
9041 EXECUTIVE PARK DR STE 275-B
KNOXVILLE, TN 37923-4621
Phone number: 865-333-4931
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