Individual
MS. JENNIFER SUZANNE HOLTSCLAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
CORNER OF SIDNEY AND LAMONT, MOUNTAIN HOME, TN 37684-4000
(423) 926-1171
Mailing address
PO BOX 4000, MAILSTOP 122, MOUNTAIN HOME, TN 37684-4000
(423) 926-1171
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5140
TN
Other
Enumeration date
01/23/2009
Last updated
02/08/2020
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