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Individual

DESTINY PREVILUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6110 SHALLOWFORD RD, CHATTANOOGA, TN 37421-1894
(423) 499-1031
Mailing address
10276 SCENIC VIEW DR, OOLTEWAH, TN 37363-9530
(256) 566-2499

Taxonomy

Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary

Other

Enumeration date
09/01/2021
Last updated
09/01/2021
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