Individual
WANDA ELISABET KOMJATHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9041 EXECUTIVE PARK DR STE 134, KNOXVILLE, TN 37923-4664
(615) 510-7770
Mailing address
9041 EXECUTIVE PARK DR STE 134, KNOXVILLE, TN 37923-4664
(615) 510-7770
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5568
TN
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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