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1932861671
MEREDITH MCCOOK PROSAK
JOHNSON CITY, TN
NPI
1932861671
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TN 7798)
Enumeration Date
2021-10-11
Last Update Date
2021-10-11
Business Address
MEREDITH MCCOOK PROSAK LCSW
202 W FAIRVIEW AVE
JOHNSON CITY, TN 37604-5611
Phone number: 423-439-7371
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Mailing Address
MEREDITH MCCOOK PROSAK LCSW
202 W FAIRVIEW AVE
JOHNSON CITY, TN 37604-5611
Phone number: 423-439-7371
Copy
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