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Individual

LEANNE BRADDOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
561 E MAIN ST, JACKSON, TN 38301-6451
(901) 219-0319
(901) 377-9977
Mailing address
561 E MAIN ST, JACKSON, TN 38301-6451
(901) 219-0319
(901) 377-9977

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0645
TN

Other

Enumeration date
03/27/2014
Last updated
06/01/2016
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