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Individual

DIANA MORELEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1193 JACK VEST DR, JOHNSON CITY, TN 37614-6505
(423) 439-7777
Mailing address
1193 JACK VEST DR, PO BOX 70416, JOHNSON CITY, TN 37614-6505
(423) 439-7777

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P0000003421
TN

Other

Enumeration date
01/11/2017
Last updated
01/11/2017
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