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Individual

AMANDA LEIGH FERGUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
600 ARTHUR ST, KNOXVILLE, TN 37921-6405
(865) 523-8695
Mailing address
200 TECH CENTER DR, KNOXVILLE, TN 37912-2747
(865) 637-9711

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
LSW0000010588
TN
1041C0700X
Clinical Social Worker
Primary
5736
TN
171M00000X
Case Manager/Care Coordinator

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q054694
TN
Enumeration date
08/26/2009
Last updated
03/05/2024
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