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1518296474
SUSAN WARREN PRATT
JOHNSON CITY, TN
NPI
1518296474
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Former Name
SUSAN RUSSELL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2009-12-23
Last Update Date
2009-12-23
Business Address
SUSAN WARREN PRATT BA
200 W FAIRVIEW AVE
JOHNSON CITY, TN 37604-5611
Phone number: 423-926-4171
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Mailing Address
SUSAN WARREN PRATT BA
1167 SPRATLIN PARK DR
GRAY, TN 37615-6205
Phone number: 423-467-3600
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