Individual
MS. JACQUELYN ANN CASEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
201 FRAZIER AVENUE, SUITE E, CHATTANOOGA, TN 37405
(423) 618-9974
Mailing address
PO BOX 4761, CHATTANOOGA, TN 37405
(423) 618-9974
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000004310
TN
Other
Enumeration date
01/23/2017
Last updated
01/23/2017
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