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1861771503
STACEY MICHELLE SMITH
TULLAHOMA, TN
NPI
1861771503
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2011-08-11
Last Update Date
2011-08-11
Business Address
STACEY MICHELLE SMITH
709 DAVIDSON ST
TULLAHOMA, TN 37388-3607
Phone number: 931-393-5900
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Mailing Address
STACEY MICHELLE SMITH
709 DAVIDSON ST
TULLAHOMA, TN 37388-3607
Phone number: 931-393-5900
Copy
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