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Individual

MRS. JAMEELIYAH LANE CASEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
810 GREENWOOD AVE, CLARKSVILLE, TN 37040-4068
(931) 206-0976
Mailing address
1728 FLAGSTONE DR, CLARKSVILLE, TN 37042-1712
(931) 206-0976

Taxonomy

Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary

Other

Enumeration date
03/02/2007
Last updated
07/08/2007
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