Individual
CLARENCE A HAYNES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1 VETERANS WAY, KNOXVILLE, TN 37931-3161
(865) 310-9676
Mailing address
103 BEECHWOOD LN, OAK RIDGE, TN 37830-7868
(865) 310-9676
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000000220
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01127873
RR MEDICARE
TN
05
—
Q000599
—
TN
Enumeration date
09/28/2006
Last updated
02/26/2019
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