Provider Information for 1932888906
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MASON BAILEY DOSS LPC-MHSP
Sex: Male
NPI: 1932888906
Last Updated: 2023-07-17
Certification Date: 2023-07-16
Certification Date: 2023-07-16
Details
| Name | Value | ||||||||
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| NPI | 1932888906 | ||||||||
| Enumeration Date | 2023-07-17 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 237 ARMSTRONG RD DOYLE, TN 38559-1324 United States Phone: 615-670-2191 | Fax: | ||||||||
| Primary Practice Address | 237 ARMSTRONG RD DOYLE, TN 38559-1324 United States Phone: 615-670-2191 | Fax: | ||||||||
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