Individual
AMBER SEATS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 S ROAN ST STE 105, JOHNSON CITY, TN 37601-7679
(423) 747-1187
Mailing address
2700 S ROAN ST STE 105, JOHNSON CITY, TN 37601-7679
(423) 747-1187
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0000006967
TN
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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