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1912204694
MATTHEW GLENN BULL
CLARKSVILLE, TN
NPI
1912204694
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2011-02-16
Last Update Date
2011-02-16
Business Address
MR. MATTHEW GLENN BULL
118 UNION ST
CLARKSVILLE, TN 37040-5115
Phone number: 931-647-8285
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Mailing Address
MR. MATTHEW GLENN BULL
118 UNION ST
CLARKSVILLE, TN 37040-5115
Phone number:
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