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Individual

ARTHUR WINFIELD STAIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
SPC

Contact information

Practice address
207 N BOONE ST STE 1200, JOHNSON, TN 37604
(423) 928-8001
(423) 928-8007
Mailing address
207 N BOONE ST STE 1200, JOHNSON CITY, TN 37604-5693
(423) 928-8001
(423) 928-8007

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
11710
TN

Other

Enumeration date
08/03/2012
Last updated
08/03/2012
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