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1396857322
DIANE LOUISE WHITEHEAD
JOHNSON CITY, TN
NPI
1396857322
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: TN PhD 425)
Enumeration Date
2006-08-31
Last Update Date
2022-07-21
Business Address
Dr. DIANE LOUISE WHITEHEAD PhD
607 BAXTER ST FAIRVIEW ASS.
JOHNSON CITY, TN 37601
Phone number: 423-232-2670
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Mailing Address
Dr. DIANE LOUISE WHITEHEAD PhD
PO BOX 9054
GRAY, TN 37615-9054
Phone number: 423-467-3600
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