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1417371394
MIRANDA EZELL
TULLAHOMA, TN
NPI
1417371394
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TN 0000008058)
Enumeration Date
2014-02-12
Last Update Date
2014-02-12
Business Address
Mrs. MIRANDA EZELL LMSW
709 DAVIDSON ST
TULLAHOMA, TN 37388-3607
Phone number: 931-247-7892
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Mailing Address
Mrs. MIRANDA EZELL LMSW
709 DAVIDSON ST
TULLAHOMA, TN 37388-3607
Phone number:
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