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Individual

SHIRLEY CORRINE GARVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
404 HOLSTON DR, GREENEVILLE, TN 37743-3126
(865) 633-9844
Mailing address
404 HOLSTON DR, GREENEVILLE, TN 37743-3126

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3013231
TN
Enumeration date
02/10/2009
Last updated
02/17/2009
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