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1386078061
MARK MCDONALD
COLUMBIA, TN
NPI
1386078061
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2013-08-29
Last Update Date
2013-08-29
Business Address
MR. MARK MCDONALD B.S.
1202 S JAMES CAMPBELL BLVD STE 7A
COLUMBIA, TN 38401-5193
Phone number: 931-381-0020
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Mailing Address
MR. MARK MCDONALD B.S.
1202 S JAMES CAMPBELL BLVD STE 7A
COLUMBIA, TN 38401-5193
Phone number: 931-381-0020
Copy
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