Individual
TINA LYNETTE PATTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1012 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5132
(865) 977-0112
Mailing address
200 TECH CENTER DR, KNOXVILLE, TN 37912-2747
(865) 637-9711
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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