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Individual

JENNIFER FAIRES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
470 INDUSTRIAL LN, ONEIDA, TN 37841-6294
(423) 663-9200
Mailing address
470 INDUSTRIAL LN, ONEIDA, TN 37841-6294
(423) 779-6877

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
02/22/2022
Last updated
12/06/2023
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