Individual
KRISTY LEE PEDRERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2211 E BROADWAY AVE, MARYVILLE, TN 37804-3078
(865) 324-2043
Mailing address
2211 E BROADWAY AVE, MARYVILLE, TN 37804-3078
(865) 324-2043
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9920
TN
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/06/2013
Last updated
03/25/2026
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