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1508086927
JIM WALTER
CHATTANOOGA, TN
NPI
1508086927
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-04-26
Last Update Date
2007-07-08
Business Address
-- JIM WALTER
2347 ROSSVILLE BLVD
CHATTANOOGA, TN 37408-2250
Phone number: 423-265-3122
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Mailing Address
-- JIM WALTER
PO BOX 167
COLLEGEDALE, TN 37315-0167
Phone number:
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