Individual
NICOLE O HARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2018 WESTERN AVE, KNOXVILLE, TN 37921-5718
(865) 544-0406
(865) 544-0480
Mailing address
1923 SULPHUR SPRINGS RD, MORRISTOWN, TN 37813-5654
(423) 317-9344
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
IC498
NV
1041C0700X
Clinical Social Worker
Primary
LSW7377
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194933762
—
NV
Enumeration date
05/18/2007
Last updated
10/08/2020
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