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1700505948
JACQUELYN MANTOOTH
OAK RIDGE, TN
NPI
1700505948
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TN 5630)
Enumeration Date
2022-08-23
Last Update Date
2022-08-23
Business Address
JACQUELYN MANTOOTH LPC
240 W TYRONE RD
OAK RIDGE, TN 37830-6571
Phone number: 865-482-1076
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Mailing Address
JACQUELYN MANTOOTH LPC
240 W TYRONE RD
OAK RIDGE, TN 37830-6571
Phone number: 865-482-1076
Copy
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