Individual
MRS. JUDY M BOMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9111 CROSS PARK DR, SUITE E-475, KNOXVILLE, TN 37923-4506
(865) 560-2542
Mailing address
112 E FRANKLIN ST, ALCOA, TN 37701-1916
(865) 560-2542
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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