Individual
MRS. MANDA LEA KINGSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3917 VOLUNTEER DR STE 121, CHATTANOOGA, TN 37416-3885
(423) 541-4187
Mailing address
3917 VOLUNTEER DR STE 121, CHATTANOOGA, TN 37416-3885
(423) 541-4187
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
15345
TN
Other
Enumeration date
02/10/2020
Last updated
05/23/2024
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