Individual
MR. MATTHEW HAL WOLFENBARGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
647 WALL ST, SEVIERVILLE, TN 37862-5923
(865) 429-0557
Mailing address
201 W SPRINGDALE AVE, KNOXVILLE, TN 37917-5158
(865) 637-9711
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/01/2019
Last updated
07/01/2019
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