Individual
LUDMILA MARIE WILNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
132 MILLER AVE, MARYVILLE, TN 37803-5946
(865) 254-6758
Mailing address
132 MILLER AVE, MARYVILLE, TN 37803-5946
(865) 254-6758
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9499
TN
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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