Provider Information for 1528545951
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RAE DAWN LINKOUS LPC
Sex: Female
NPI: 1528545951
Last Updated: 2018-07-27
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1528545951 | ||||||||
| Enumeration Date | 2018-07-27 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 124 KEYS ST BRISTOL, VA 24201-2539 United States Phone: 540-577-2155 | Fax: | ||||||||
| Primary Practice Address | 332 HOSPITAL RD MOUNTAIN CITY, TN 37683-4309 United States Phone: 423-528-1536 | Fax: | ||||||||
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