Individual
SUSAN E STICKLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 SPRINGDALE AVE, KNOXVILLE, TN 37917-5156
(865) 637-9711
Mailing address
200 TECH CENTER DR, KNOXVILLE, TN 37912-2747
(865) 637-9711
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
TN
Other
Enumeration date
04/29/2015
Last updated
09/10/2021
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