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Individual

ELDORA L FITZSIMMONS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.C.S.W.

Contact information

Practice address
1031 ELEANOR ST, KNOXVILLE, TN 37917-6641
(865) 607-1031
(865) 523-4818
Mailing address
PO BOX 27183, KNOXVILLE, TN 37927-7183
(865) 523-4818
(865) 774-4235

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00003384
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
003034281
BLUECROSSBLUESHEILD TN
TN
01
138M5
BCBS OF NC
NC
01
154785
VALUE OPTIONS
NC
01
245841
MHN
NC
01
245841
MHN
TN
01
249179
COMPSYCH
TN
01
95920
UNITED BEHAVIORAL HEALTH
NC
01
95920
UNITED BEHAVIORAL HEALTH
TN
Enumeration date
11/20/2005
Last updated
01/14/2020
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