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1780604470
EDWARD HUGH TENISON
ROANOKE, VA
NPI
1780604470
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: VA 0810002134)
Enumeration Date
2006-07-19
Last Update Date
2010-01-22
Business Address
Dr. EDWARD HUGH TENISON Ph.D.
3635 MANASSAS DR SUITE A
ROANOKE, VA 24018-4031
Phone number: 540-774-4686
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Mailing Address
Dr. EDWARD HUGH TENISON Ph.D.
2121 LAKE AVE. VA MEDICAL CENTER
FT. WAYNE, IN 46805
Phone number: 260-426-5431
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