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Individual

MS. BRANDI JO HAMPSHIRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
166 RACHELLE PL, BAXTER, TN 38544-2000
(931) 265-9373
Mailing address
166 RACHELLE PL, BAXTER, TN 38544-2000
(931) 265-9373

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q045472
TN
Enumeration date
10/01/2008
Last updated
11/16/2019
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