Individual
MS. MARY CAROL MISULICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
262 CHEROKEE PROFESSIONAL PARK, MARYVILLE, TN 37804-5153
(865) 984-4223
(865) 681-1789
Mailing address
262 CHEROKEE PROFESSIONAL PARK, MARYVILLE, TN 37804-5153
(865) 984-4223
(865) 681-1789
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000003452
TN
Other
Enumeration date
02/23/2006
Last updated
02/26/2008
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