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Individual

MR. THOMAS L BAXTER JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BS

Contact information

Practice address
626 BERNARD AVE, KNOXVILLE, TN 37921-6253
(865) 522-0161
Mailing address
626 BERNARD AVE, KNOXVILLE, TN 37921-6253

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
08/28/2013
Last updated
08/28/2013
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