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Individual

DR. SAMUEL LEE CARNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
37 EXECUTIVE DR, JACKSON, TN 38305-2310
(731) 426-1820
(731) 426-0675
Mailing address
37 EXECUTIVE DR, JACKSON, TN 38305-2310
(731) 426-1820
(731) 426-0675

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
SPE00000000000369
TN

Other

Enumeration date
11/09/2010
Last updated
11/09/2010
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