HEATHER BRADDOCK

KINGSPORT, TN
NPI1801305081
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: TN  3949)
Enumeration Date2017-09-20
Last Update Date2017-09-20
Business Address
HEATHER BRADDOCK LPC-MHSP
441 CLAY ST
KINGSPORT, TN 37660-3693
Phone number: 423-247-4536
Mailing Address
HEATHER BRADDOCK LPC-MHSP
PO BOX 1323
KINGSPORT, TN 37662-1323
Phone number: 423-247-4536
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