Individual
JUDITH A ALLSTON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1002 BRADFORD WAY, KINGSTON, TN 37763-3100
(865) 376-1585
(865) 376-1587
Mailing address
1002 BRADFORD WAY, KINGSTON, TN 37763-3100
(865) 376-1585
(865) 376-1587
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW0674
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4045761
BLUE CROSS BLUE SHIELD
TN
Enumeration date
01/26/2006
Last updated
07/08/2007
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