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1972600278
BRUCE SMITH
COVINGTON, TN
NPI
1972600278
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TN PE0000001165)
Enumeration Date
2006-09-20
Last Update Date
2007-07-08
Business Address
-- BRUCE SMITH
1997 HIGHWAY 51 S
COVINGTON, TN 38019-3630
Phone number: 901-476-8967
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Mailing Address
-- BRUCE SMITH
57 CHRISTIE AVE
MUNFORD, TN 38058
Phone number:
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