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Individual

KAMMIE JEANNE DEGHETTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
5302 BALLCAMP PIKE, KNOXVILLE, TN 37921-3234
(865) 541-6958
Mailing address
200 TECH CENTER DR, KNOXVILLE, TN 37912-2747
(865) 637-9711

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7389
TN
1041C0700X
Clinical Social Worker
SW 4989
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q080858
TN
Enumeration date
09/20/2008
Last updated
03/05/2024
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