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1417568890
ILLUMINATE PSYCHOTHERAPY PLLC
CHATTANOOGA, TN
NPI
1417568890
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Entity Type
Organization
Authorized Contact
JUDY GILLIAM
Administrative Expert
423-510-1999
Organization Subpart ?
No
Primary Taxonomy
103TC0700X Psychologist Clinical
Enumeration Date
2020-08-11
Last Update Date
2020-08-11
Business Address
ILLUMINATE PSYCHOTHERAPY PLLC
101 JORDAN DR
CHATTANOOGA, TN 37421-6732
Phone number: 423-510-1999
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Mailing Address
ILLUMINATE PSYCHOTHERAPY PLLC
101 JORDAN DR
CHATTANOOGA, TN 37421-6732
Phone number: 423-510-1999
Copy
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