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Individual

MS. SUZANNE GREENE AUGUSTINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
26 MIDWAY ST, BRISTOL REGIONAL COUNSELING CTR, BRISTOL, TN 37620
(423) 989-4500
(423) 989-4568
Mailing address
PO BOX 9054, GRAY, TN 37615-9054
(423) 467-3600
(423) 467-3696

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
09/12/2006
Last updated
07/08/2007
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