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Individual

VICTORIA L MAMIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
9020 OVERLOOK BLVD STE 130, BRENTWOOD, TN 37027-3259
(865) 588-3173
Mailing address
9020 OVERLOOK BLVD STE 130, BRENTWOOD, TN 37027-3259
(865) 588-3173
(865) 312-6387

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
16764
SC
1041C0700X
Clinical Social Worker
Primary
9356
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1760596480
SC
Enumeration date
12/13/2010
Last updated
01/08/2026
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