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Individual

MS. ELIZABETH JOANNE DEETER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
108 W SUMMIT HILL DR, KNOXVILLE, TN 37902
(865) 525-1099
(865) 525-7494
Mailing address
108 W SUMMIT HILL DR, KNOXVILLE, TN 37902
(865) 525-1099
(865) 525-7494

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000003306
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2927788
TN
01
4099564
BCBS TN
TN
Enumeration date
09/21/2006
Last updated
07/02/2008
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