Individual
EDWARD LEON SHOEMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
114 BRUCE ST, SEVIERVILLE, TN 37862-3558
(865) 774-4432
Mailing address
114 BRUCE STREET, SEVIERVILLE, TN 37862
(865) 774-4432
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0000000318
TN
Other
Enumeration date
02/27/2008
Last updated
02/27/2008
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