Individual
JUDY P HAVNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5112 SCHUBERT RD, KNOXVILLE, TN 37912-3832
(865) 687-7090
(865) 688-3767
Mailing address
1231 SNOWDON DR, KNOXVILLE, TN 37912-2953
(865) 687-7090
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW643
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3692499
—
TN
Enumeration date
07/12/2005
Last updated
07/08/2007
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