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Individual

ALICE STOVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
3712 MIDDLEBROOK PIKE, KNOXVILLE, TN 37921-6503
(865) 637-9711
Mailing address
200 TECH CENTER DR, KNOXVILLE, TN 37912-2747
(865) 637-9711

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
LSW0000011503
TN
1041C0700X
Clinical Social Worker
Primary
5736
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q068098
TN
Enumeration date
07/06/2018
Last updated
03/07/2024
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