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Individual

RONALD DAVIED MASNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LBSW

Contact information

Practice address
425 CUMBERLAND ST, CHATTANOOGA, TN 37404-1909
(423) 698-0802
(423) 495-9146
Mailing address
425 CUMBERLAND ST, CHATTANOOGA, TN 37404-1909
(423) 698-0802
(423) 495-9146

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
204
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
123
LBSW
TN
Enumeration date
08/07/2012
Last updated
08/07/2012
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