Individual
MRS. ELIZABETH S MCCOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4619 CHAMBLISS AVE, KNOXVILLE, TN 37919-5119
(865) 659-6631
(865) 558-3495
Mailing address
4619 CHAMBLISS AVE, KNOXVILLE, TN 37919-5119
(865) 659-6631
(865) 558-3495
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
260
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0103968
BCBS
TN
05
—
3989856
—
TN
Enumeration date
09/24/2006
Last updated
07/08/2007
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