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Individual

JACQULYN WEISEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1324 HAZELWOOD DR, SMYRNA, TN 37167-3922
(615) 247-6831
Mailing address
3144 OLD FRANKLIN RD APT 6101, ANTIOCH, TN 37013-4798
(848) 245-6781

Taxonomy

Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary

Other

Enumeration date
06/13/2024
Last updated
06/13/2024
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