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Individual

JOELEANA IRVINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2241 THORNTON TAYLOR PKWY, FAYETTEVILLE, TN 37334-3637
(931) 433-6456
Mailing address
2241 THORNTON TAYLOR PKWY, FAYETTEVILLE, TN 37334-3637
(931) 433-6456

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
07/29/2021
Last updated
08/09/2021
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