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Individual

MARK PAFFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.A., MDIV

Contact information

Practice address
665 S JEFFERSON AVE, COOKEVILLE, TN 38501-4011
(931) 528-0051
(931) 528-0021
Mailing address
108 N 4TH ST, SMITHVILLE, TN 37166-1416
(931) 252-6684

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q057064
TN
Enumeration date
10/18/2007
Last updated
07/15/2020
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