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1700568243
MANDY COLBURN
KINGSTON, TN
NPI
1700568243
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-08-03
Last Update Date
2023-08-03
Business Address
MANDY COLBURN LADAC II
302 KELSAY DR
KINGSTON, TN 37763-3004
Phone number: 865-206-6971
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Mailing Address
MANDY COLBURN LADAC II
302 KELSAY DR
KINGSTON, TN 37763-3004
Phone number: 865-206-6971
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