Individual
JILL MARIE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
502 WINFIELD DUNN PKWY, SEVIERVILLE, TN 37876-5509
(865) 280-6526
(865) 908-8277
Mailing address
502 WINFIELD DUNN PKWY, SEVIERVILLE, TN 37876-5509
(865) 280-6526
(865) 908-8277
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
5079
TN
1041C0700X
Clinical Social Worker
Primary
5079
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q025593
—
TN
Enumeration date
08/11/2016
Last updated
05/04/2021
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