| Provider Type: | Other Service Providers |
| Provider Classification: | Specialist |
| Definition of Specialization: | |
| Address: |
111 W Stone Dr Suite 100 Kingsport, TN 37660-6027 |
| Phone: | (423) 247-5197 |
| Fax: | (423) 247-5254 |
| Gender: | Female |
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