Individual
MRS. CYNTHIA ANN UNDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
307 HIGH ST, MARYVILLE, TN 37804-5847
(865) 749-5000
Mailing address
311 SEMINOLE SHRS, LOUDON, TN 37774-3167
(865) 458-3166
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000003152
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3695772
—
TN
Enumeration date
09/03/2006
Last updated
07/08/2007
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