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Individual

ELIZABETH CATHERINE STANKOVICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BA

Contact information

Practice address
7714 CONNER RD, SUITE 105, POWELL, TN 37849-3559
(865) 947-6220
(865) 512-1069
Mailing address
6350 W A J HWY, DEPARTMENT 100, TALBOTT, TN 37877-8605
(800) 355-3565
(423) 714-2355

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
TN

Other

Enumeration date
03/21/2012
Last updated
03/21/2012
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