Individual
ALLISON MARIE STAACKMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
323 EBENEZER RD, KNOXVILLE, TN 37923-5310
(865) 272-9709
Mailing address
323 EBENEZER RD, KNOXVILLE, TN 37923-5310
(865) 272-9709
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW13028
TN
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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