Individual
CHARLES STEVEN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
117 HUXLEY RD STE B3, KNOXVILLE, TN 37922-3179
(865) 518-2987
Mailing address
5701 TENNYSON DR, KNOXVILLE, TN 37909-1077
(865) 803-5936
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000006662
TN
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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