Individual
MRS. MIRANDA CHITTUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
309 N HOUSTON ST, MARYVILLE, TN 37801-4733
(865) 268-9144
Mailing address
6121 EVENING STAR LN, KNOXVILLE, TN 37918-5261
(423) 736-4351
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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