Individual
MR. SEAN CHARLES DOESBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1652 E BROADWAY AVE, MARYVILLE, TN 37804-2914
(865) 681-6990
Mailing address
200 TECH CENTER DR, KNOXVILLE, TN 37912-2747
(865) 637-9711
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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