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Individual

WESLEY STUART KANEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
6110 SHALLOWFORD RD, CHATTANOOGA, TN 37421-1615
(800) 632-6074
(866) 341-7509
Mailing address
432 PARKER LN, BRADYVILLE, TN 37026-5343
(615) 765-5751

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000001104
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3698934
TN
Enumeration date
09/07/2006
Last updated
07/09/2007
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