Individual
CARRIE FAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
125 N CONCORD ST, KNOXVILLE, TN 37919-2330
(865) 323-2617
Mailing address
3904 HOLSTON HILLS RD, KNOXVILLE, TN 37914-6295
(865) 323-2617
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000005771
TN
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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