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Individual

MISS EMILY STORY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3915 BRISTOL HWY, SUITE 202, JOHNSON CITY, TN 37601-1400
(423) 283-6540
(423) 283-6550
Mailing address
2313 LARKSPUR DR, JOHNSON CITY, TN 37604-2416
(423) 854-9368

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
04/16/2007
Last updated
07/08/2007
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