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1912069428
JUANITA J FUSSELL
COOKEVILLE, TN
NPI
1912069428
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: TN P0000001338)
Enumeration Date
2006-12-14
Last Update Date
2007-07-08
Business Address
Dr. JUANITA J FUSSELL Ed.D.
805 N WILLOW AVE SUITE 300
COOKEVILLE, TN 38501-1751
Phone number: 931-526-8000
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Mailing Address
Dr. JUANITA J FUSSELL Ed.D.
3115 FOWLER MONTGOMERY RD
COOKEVILLE, TN 38506-6469
Phone number: 931-526-8000
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