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Individual

MR. JEFFREY WAYNE VIERS

Active
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Individual

MR. JEFFREY WAYNE VIERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
SR. L.P.E.

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
11701
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4099861
BLUE CROSS BLUE SHIELD
TN
Enumeration date
01/10/2007
Last updated
07/08/2007
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