Individual
ROBERTA CHRISTIANA WILBANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
816 E OLDHAM AVE, KNOXVILLE, TN 37917-5567
(865) 523-9163
Mailing address
816 E OLDHAM AVE, KNOXVILLE, TN 37917-5567
(865) 523-9163
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
9655
TN
1041C0700X
Clinical Social Worker
Primary
9655
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q056029
—
TN
Enumeration date
03/27/2013
Last updated
10/31/2023
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