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1669720611
CORY LEE JONES
JACKSON, TN
NPI
1669720611
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TN 332)
Enumeration Date
2012-08-23
Last Update Date
2012-08-23
Business Address
-- CORY LEE JONES LADAC
238 SUMMAR DR
JACKSON, TN 38301-3906
Phone number: 731-541-8200
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Mailing Address
-- CORY LEE JONES LADAC
1804 HIGHWAY 45 BYP SUITE 604
JACKSON, TN 38305-4436
Phone number:
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