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1487262630
SAMANTHA DANIELLE LYON
JOHNSON CITY, TN
NPI
1487262630
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: TN 3856)
Enumeration Date
2020-07-14
Last Update Date
2024-01-18
Business Address
SAMANTHA DANIELLE LYON
1043 JACK VEST DR
JOHNSON CITY, TN 37614-3761
Phone number: 423-439-4044
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Mailing Address
SAMANTHA DANIELLE LYON
PO BOX 699
MOUNTAIN HOME, TN 37684-0699
Phone number:
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