Individual
KORRIE XAVIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1700 ELM DR, MARYVILLE, TN 37804-4327
(865) 309-5427
Mailing address
PO BOX 5568, MARYVILLE, TN 37802-5568
(865) 351-0393
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000013022
TN
Other
Enumeration date
03/13/2021
Last updated
09/07/2021
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