Individual
CASSIE JACKSON MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPRS
Contact information
Practice address
310 W 3RD NORTH ST BLDG 1, MORRISTOWN, TN 37814-4038
(865) 637-9711
Mailing address
200 TECH CENTER DR, KNOXVILLE, TN 37912-2747
(865) 637-9711
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
TN
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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