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Individual

JEFFERSON ANDREW YOUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
203 GRAY COMMONS CIR, GRAY, TN 37615-5407
(833) 371-0509
(423) 467-3644
Mailing address
1167 SPRATLIN PARK DR, GRAY, TN 37615-6205
(423) 467-3600
(423) 467-3644

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
03/29/2018
Last updated
03/29/2018
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