Individual
TRACY L SIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6110 SHALLOWFORD RD, CHATTANOOGA, TN 37421-1894
(423) 227-5893
Mailing address
6110 SHALLOWFORD RD, CHATTANOOGA, TN 37421-1894
(423) 227-5893
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9283
TN
Other
Enumeration date
06/23/2010
Last updated
07/27/2012
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