Individual
DR. DAVELYN V. VIDRINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
113 STRINGER ST, SUITE A, CHATTANOOGA, TN 37405-3254
(423) 266-0776
Mailing address
PO BOX 4431, CHATTANOOGA, TN 37405-0431
(423) 266-0776
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
IP0000176
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IP0000276
LICENSE TO PRACTICE
TN
Enumeration date
05/02/2007
Last updated
07/08/2007
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