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1407307804
ALEXANDRIA VIRGOUS
MEMPHIS, TN
NPI
1407307804
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-10-20
Last Update Date
2016-10-20
Business Address
-- ALEXANDRIA VIRGOUS
4539 WINCHESTER RD
MEMPHIS, TN 38118-5100
Phone number: 901-375-1050
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Mailing Address
-- ALEXANDRIA VIRGOUS
4539 WINCHESTER RD
MEMPHIS, TN 38118-5100
Phone number: 901-375-1050
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