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1447618681
BRUCE THEOBALD
NASHVILLE, TN
NPI
1447618681
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TN 2248)
Enumeration Date
2016-02-02
Last Update Date
2016-09-26
Business Address
-- BRUCE THEOBALD LPC
1921 RANSOM PL
NASHVILLE, TN 37217-3841
Phone number: 615-279-6700
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Mailing Address
-- BRUCE THEOBALD LPC
1921 RANSOM PL
NASHVILLE, TN 37217-3841
Phone number: 615-279-6700
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