Individual
JERRY VAGNIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1652 E BROADWAY AVE, MARYVILLE, TN 37804-2914
(865) 637-9711
Mailing address
200 TECH CENTER DR, KNOXVILLE, TN 37912-2747
(865) 637-9711
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000000896
TN
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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