Individual
STEPHANIE SMITH BOYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
605 WATAUGA ST, KINGSPORT, TN 37660-4447
(844) 215-0811
(888) 395-1262
Mailing address
605 WATAUGA ST, KINGSPORT, TN 37660-4447
(844) 215-0811
(126) 288-8395
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904015499
VA
1041C0700X
Clinical Social Worker
8676
TN
Other
Enumeration date
12/08/2021
Last updated
07/04/2023
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