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1528519576
ALICIA LUSCOMB AUTRY
GERMANTOWN, TN
NPI
1528519576
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: TN Provisional 3440)
Enumeration Date
2016-10-14
Last Update Date
2016-10-14
Business Address
Dr. ALICIA LUSCOMB AUTRY Ph.D.
7516 ENTERPRISE AVE SUITE 1
GERMANTOWN, TN 38138-3802
Phone number: 901-755-5802
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Mailing Address
Dr. ALICIA LUSCOMB AUTRY Ph.D.
7516 ENTERPRISE AVE SUITE 1
GERMANTOWN, TN 38138-3802
Phone number: 901-755-5802
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