Individual
BETHANY MINSER LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4527 GRIBBLE RD, MARYVILLE, TN 37803-1827
(865) 405-8950
Mailing address
4527 GRIBBLE RD, MARYVILLE, TN 37803-1827
(865) 405-8950
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5063
TN
Other
Enumeration date
04/13/2015
Last updated
04/13/2015
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