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Individual

ANISA ABDOSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
879 HIGHWAY 126 STE B, BRISTOL, TN 37620-3308
(423) 930-7408
Mailing address
879 HIGHWAY 126 STE B, BRISTOL, TN 37620-3308
(423) 930-7408

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
000856717
TN

Other

Enumeration date
07/23/2016
Last updated
07/23/2016
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