Individual
MRS. KATHLEEN EMERSON STULCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
2775 EXECUTIVE PARK NW, SUITE 1, CLEVELAND, TN 37312-2723
(423) 479-9652
Mailing address
2775 EXECUTIVE PARK NW, SUITE 1, CLEVELAND, TN 37312-2723
(423) 479-9652
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3005
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147709
BLUE CROSS BLUE SHIELD
TN
Enumeration date
05/11/2007
Last updated
07/08/2007
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