Individual
MARISSA LEAH PENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11840 KINGSTON PIKE STE B, KNOXVILLE, TN 37934-3861
(865) 588-3173
(865) 588-3174
Mailing address
11840 KINGSTON PIKE STE B, KNOXVILLE, TN 37934-3861
(865) 588-3173
(865) 588-3174
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
103216-1
NY
1041C0700X
Clinical Social Worker
Primary
9171
TN
Other
Enumeration date
08/08/2018
Last updated
10/07/2025
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