Individual
MS. STEPHANIE MARIE TRENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
404 HOLSTON DR, GREENEVILLE, TN 37743-3126
(423) 638-4171
Mailing address
404 HOLSTON DR, GREENEVILLE, TN 37743-3126
(423) 638-4171
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1506510
—
TN
Enumeration date
10/10/2011
Last updated
10/10/2011
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