Individual
KIM MARIE SPRAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
100 ADAMS LN, OAK RIDGE, TN 37830-4909
(865) 483-7743
(865) 481-8993
Mailing address
200 TECH CENTER DR, KNOXVILLE, TN 37912-2747
(658) 637-9711
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7169
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q056089
—
TN
Enumeration date
03/02/2020
Last updated
03/05/2024
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