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1780660431
SUSAN ILENE TAUB
JOHNSON CITY, TN
NPI
1780660431
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: TN P0000001182)
Enumeration Date
2005-12-15
Last Update Date
2007-07-08
Business Address
-- SUSAN ILENE TAUB PhD
1604 E OAKLAND AVE
JOHNSON CITY, TN 37601-2151
Phone number: 423-928-2222
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Mailing Address
-- SUSAN ILENE TAUB PhD
1604 E OAKLAND AVE
JOHNSON CITY, TN 37601-2151
Phone number: 423-928-2222
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