Individual
MRS. DEBORAH NOTTINGHAM HENNINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
498 INDUSTRIAL DR, FIB, BRISTOL, TN 37620
(423) 878-1624
(423) 878-1606
Mailing address
PO BOX 9054, GRAY, TN 37615-9054
(423) 467-3600
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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