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Individual

WAYNE E. TASKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW, LPC

Contact information

Practice address
400 W MAIN ST, SUITE 109, MORRISTOWN, TN 37814-4643
(423) 581-8844
(423) 318-3050
Mailing address
400 W MAIN ST, SUITE 109, MORRISTOWN, TN 37814-4643
(423) 581-8844
(423) 318-3050

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC0000000394
TN
1041C0700X
Clinical Social Worker
Primary
LSW0000001208
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3694688
TN
Enumeration date
08/23/2005
Last updated
03/24/2015
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