Individual
MILDRED ELAINE DENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW- TN, LCSW- VA
Contact information
Practice address
309 SOUTH HOLLOW RD, BLOUNTVILLE, TN 37617
(423) 967-7119
Mailing address
309 SOUTH HOLLOW RD, BLOUNTVILLE, TN 37617
(423) 967-7119
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LSW7683
TN
1041C0700X
Clinical Social Worker
Primary
0904007718
VA
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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