Individual
SONJA MCQUISTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25751 SR 30, SPENCER, TN 38585-4223
(931) 217-1984
Mailing address
25751 SR 30, SPENCER, TN 38585-4223
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3476
TN
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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