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805 S Church St Ste 20 Murfreesboro TN 37130-5297 | |
| (931) 581-0524 | |
| (615) 809-2090 |
| Full Name | |
|---|---|
| Speciality | Counselor - Professional |
| Location | 805 S Church St Ste 20, Murfreesboro, Tennessee |
| Authorized Official Name and Position | Deborah Ann Driggs (CEO) |
| Authorized Official Contact | 9315810524 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
805 S Church St Ste 20 Murfreesboro TN 37130-5297 Ph: (931) 581-0524 | 805 S Church St Ste 20 Murfreesboro TN 37130-5297 Ph: (931) 581-0524 |
| NPI Number | 1427538842 |
|---|---|
| Provider Enumeration Date | 08/15/2018 |
| Last Update Date | 08/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427538842 | NPI | - | NPPES |
| 1530799 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2710 (Tennessee) | Primary |
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