Individual
MR. LAWRENCE DRAKE WENTWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5721 MARLIN RD, STE 3100 6100 BLDG, CHATTANOOGA, TN 37411-5644
(423) 648-2340
(423) 499-9986
Mailing address
5721 MARLIN RD, STE 3100 6100 BLDG, CHATTANOOGA, TN 37411-5644
(423) 648-2340
(423) 499-9986
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
346
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3691042
—
TN
01
—
4077812
BCBS
TN
Enumeration date
08/02/2006
Last updated
07/08/2007
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