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1982948915
DARRELL D. FUQUA
MARYVILLE, TN
NPI
1982948915
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-11-15
Last Update Date
2012-11-15
Business Address
-- DARRELL D. FUQUA
210 SIMMONS ST
MARYVILLE, TN 37801-4750
Phone number: 865-970-9800
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Mailing Address
-- DARRELL D. FUQUA
1451 DOWELL SPRINGS BLVD
KNOXVILLE, TN 37909-2441
Phone number: 865-374-7123
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