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Individual

MISS MIRANDA DAWN WHITTINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
6110 SHALLOWFORD RD, SUITE B, CHATTANOOGA, TN 37421-1894
(423) 509-4128
(423) 296-6384
Mailing address
270 15TH ST NW, APT. C, CLEVELAND, TN 37311-4429
(423) 584-9875

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
12/29/2011
Last updated
12/29/2011
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