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1487245841
LESLIE PAULA VANRAVENSWAAY
BRENTWOOD, TN
NPI
1487245841
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: TN 1837)
Enumeration Date
2021-01-28
Last Update Date
2021-01-28
Business Address
LESLIE PAULA VANRAVENSWAAY LMFC
7015 CONCORD RD
BRENTWOOD, TN 37027-6606
Phone number: 615-283-0898
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Mailing Address
LESLIE PAULA VANRAVENSWAAY LMFC
1916 VINE ST
NOLENSVILLE, TN 37135-2947
Phone number: 615-283-0898
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