Individual
TARA GULLING HAVELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
705 GATE LN STE 102, KNOXVILLE, TN 37909-3519
(865) 444-8580
Mailing address
705 GATE LN STE 102, KNOXVILLE, TN 37909-3519
(865) 444-8580
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5265
TN
1041C0700X
Clinical Social Worker
7277
TN
1041C0700X
Clinical Social Worker
CSW7277
TN
1041C0700X
Clinical Social Worker
LSW5265
TN
1041C0700X
Clinical Social Worker
—
TN
Other
Enumeration date
07/20/2007
Last updated
09/06/2023
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