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Individual

MR. MICHAEL DAVID DEANTONIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
6401 SHALLOWFORD RD, CHATTANOOGA, TN 37421-5406
(423) 893-6500
Mailing address
1208 POINTE CENTRE DR, STE 100, CHATTANOOGA, TN 37421-3983
(423) 893-6500

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5709
TN

Other

Enumeration date
12/09/2010
Last updated
09/14/2023
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