Individual
PATRICIA CHESNUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
303 TAKOMA AVE, GREENEVILLE, TN 37743-4629
(423) 636-0491
(423) 636-2425
Mailing address
PO BOX 37087, BALTIMORE, MD 21297-3087
(828) 687-6282
(828) 687-6285
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000004202
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LSW0000004202
LICENSE FOR SOCIAL WORKER
TN
Enumeration date
11/07/2005
Last updated
02/03/2010
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