MATTIE C CHISM

JACKSON, TN
NPI1548539810
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2011-12-15
Last Update Date2011-12-15
Business Address
-- MATTIE C CHISM CM
238 SUMMAR DR
JACKSON, TN 38301-3906
Phone number: 731-512-0104
Mailing Address
-- MATTIE C CHISM CM
238 SUMMAR DR
JACKSON, TN 38301-3906
Phone number: 731-512-0104
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