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1548380991
ALLEN KERRIE GHOLSTON
MEMPHIS, TN
NPI
1548380991
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TN 0000005776)
Enumeration Date
2007-03-30
Last Update Date
2021-05-11
Business Address
Mr. ALLEN KERRIE GHOLSTON LCSW
1030 JEFFERSON AVE
MEMPHIS, TN 38104-2127
Phone number: 901-523-8990
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Mailing Address
Mr. ALLEN KERRIE GHOLSTON LCSW
1030 JEFFERSON AVE
MEMPHIS, TN 38104-2127
Phone number: 901-523-8990
Copy
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