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1356589667
NICKIE LYNN COSGROVE
MOUNTAIN HOME, TN
NPI
1356589667
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: TN 7581)
Enumeration Date
2009-01-23
Last Update Date
2009-01-23
Business Address
MRS. NICKIE LYNN COSGROVE LMSW
160 DOGWOOD LANE
MOUNTAIN HOME, TN 37684
Phone number: 423-926-1171
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Mailing Address
MRS. NICKIE LYNN COSGROVE LMSW
PO BOX 4000
MOUNTAIN HOME, TN 37684-4000
Phone number: 423-926-1171
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