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Individual

MICHAELINE NICHOLE HARRISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MED

Contact information

Practice address
101 LENA DR, ROGERSVILLE, TN 37857-2951
(423) 272-9239
(423) 272-1803
Mailing address
PO BOX 9054, GRAY, TN 37615-9054
(423) 467-3600
(423) 467-3644

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
06/16/2008
Last updated
06/16/2008
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