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1356978175
JELISA ANDERSON
GERMANTOWN, TN
NPI
1356978175
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TN 3760)
Enumeration Date
2020-03-23
Last Update Date
2020-03-23
Business Address
JELISA ANDERSON LPC-MHSP
3085 FOUNTAINSIDE DR STE 110
GERMANTOWN, TN 38138-7840
Phone number: 901-238-8926
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Mailing Address
JELISA ANDERSON LPC-MHSP
2657 CROSSVINE CV S
CORDOVA, TN 38016-8460
Phone number: 901-238-8926
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