Individual
MAKENNA MARIE SANDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSW
Contact information
Practice address
600 ARTHUR ST, KNOXVILLE, TN 37921-6405
(858) 254-7861
Mailing address
200 TECH CENTER DR, KNOXVILLE, TN 37912-2747
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
TN
171M00000X
Case Manager/Care Coordinator
Primary
101Y00000X
TN
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/24/2023
Last updated
06/23/2026
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