Individual
MARTHA STANOJEVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSSW, LCSW
Contact information
Practice address
2030 CHILHOWEE MEDICAL PARK, MARYVILLE, TN 37804-5285
(865) 982-3400
(865) 238-2034
Mailing address
PO BOX 5209, MARYVILLE, TN 37802-5209
(865) 236-1503
(865) 238-2034
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6091
—
1041C0700X
Clinical Social Worker
Primary
6088
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
05
—
Q020861
—
TN
Enumeration date
12/21/2012
Last updated
01/05/2017
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