Individual
MR. THOMAS WANNEMUEHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1453A HOPE WAY, MURFREESBORO, TN 37129-3140
(615) 893-9390
Mailing address
4106 ARBORBEND DR, SMYRNA, TN 37167-2771
(919) 607-6888
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C004847
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6106459
—
NC
Enumeration date
03/08/2007
Last updated
02/02/2012
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