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Individual

MS. ANITA TREADWAY RIVERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
3703 HIXSON PIKE, CHATTANOOGA, TN 37415
(423) 877-5990
(423) 305-1963
Mailing address
3703 HIXSON PIKE, CHATTANOOGA, TN 37415-3552
(423) 877-5990
(423) 305-1963

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000003569
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3115112
BLUE CROSS
TN
01
585923000
MAGELLAN AND TENNCARE
TN
Enumeration date
11/13/2006
Last updated
02/24/2020
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