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1346922564
MADISON ELAINE IDELL
GREENEVILLE, TN
NPI
1346922564
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TN 8752)
Enumeration Date
2023-08-07
Last Update Date
2023-08-07
Business Address
MADISON ELAINE IDELL LCSW
185 SERRAL DR
GREENEVILLE, TN 37745-3067
Phone number: 423-609-3312
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Mailing Address
MADISON ELAINE IDELL LCSW
390 OLD ERWIN HWY
GREENEVILLE, TN 37745-3785
Phone number: 423-773-2360
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