Individual
DR. SAMANTHA EVERHART DUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
322 S CEDAR AVE, SOUTH PITTSBURG, TN 37380-1306
(423) 458-2292
Mailing address
1591 BROWN TRACE RD, SOUTH PITTSBURG, TN 37380-6264
(423) 458-2292
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2590438
MI
1041C0700X
Clinical Social Worker
60328109
WA
1041C0700X
Clinical Social Worker
Primary
6309
TN
Other
Enumeration date
10/28/2010
Last updated
04/04/2016
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