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1952369613
GLENDA F STOCKWELL
KINGSPORT, TN
NPI
1952369613
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TB0200X Psychologist, Cognitive & Behavioral
(Licence: TN PO2636)
Enumeration Date
2006-05-03
Last Update Date
2024-01-29
Business Address
GLENDA F STOCKWELL PhD
102 E RAVINE RD
KINGSPORT, TN 37660-3814
Phone number: 423-245-9600
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Mailing Address
GLENDA F STOCKWELL PhD
PO BOX 699
MOUNTAIN HOME, TN 37684-0699
Phone number: 423-245-9600
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