Individual
TABITHA ANN VANVRANKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
512 SINGLETREE CIR, MARYVILLE, TN 37801-8651
(865) 332-6120
Mailing address
512 SINGLETREE CIR, MARYVILLE, TN 37801-8651
(865) 332-6120
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW0000010462
TN
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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