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1992490122
GIAVANTE DOUGLAS
JACKSON, TN
NPI
1992490122
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: TN 11631)
Enumeration Date
2023-04-05
Last Update Date
2023-04-05
Business Address
GIAVANTE DOUGLAS LMSW
39 MURRAY GUARD DR
JACKSON, TN 38305-3610
Phone number: 731-736-4400
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Mailing Address
GIAVANTE DOUGLAS LMSW
39 MURRAY GUARD DR
JACKSON, TN 38305-3610
Phone number: 731-736-4400
Copy
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