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1366570749
GAVIC JAACOB CHANDLER
CLARKSVILLE, TN
NPI
1366570749
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA RC00029571)
Enumeration Date
2007-02-28
Last Update Date
2007-07-08
Business Address
Mr. GAVIC JAACOB CHANDLER M.A.
810 GREENWOOD AVE
CLARKSVILLE, TN 37040-4068
Phone number: 931-206-7257
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Mailing Address
Mr. GAVIC JAACOB CHANDLER M.A.
PO BOX 6
CLARKSVILLE, TN 37041-0006
Phone number: 931-206-7356
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