Individual
MRS. KACIE JO NOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
223 DUNBAR CAVE RD STE A, CLARKSVILLE, TN 37043-8831
(931) 444-3219
Mailing address
2318 BUTTON DR, CLARKSVILLE, TN 37040-1408
(715) 417-2235
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
14749
TN
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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