Individual
DONNA CHERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
321 W WALNUT ST STE 2, JOHNSON CITY, TN 37604-6774
(423) 202-3622
(423) 631-0019
Mailing address
321 W WALNUT ST STE 2, JOHNSON CITY, TN 37604-6774
(423) 202-3622
(423) 631-0019
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C012230
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C012230
SOCIAL WORK
TN
01
—
C012230
SW
—
Enumeration date
10/03/2019
Last updated
10/03/2019
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