Individual
MRS. BRENDA HARTGROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3505 ADKISSON DR NW STE 211, CLEVELAND, TN 37312-6805
(423) 473-6731
(423) 709-9920
Mailing address
PO BOX 367, ATHENS, TN 37371
(423) 507-8826
(423) 507-8791
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LSW0000000735
TN
Other
Enumeration date
09/27/2006
Last updated
07/16/2019
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