Individual
MRS. AMELIE FERNANDEZ RUAZOL BLUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
KNOXVILLE VA MEDICAL CENTER 1557 DOWNTOWN WEST BLVD, KNOXVILLE, TN 37919
(865) 545-4592
Mailing address
KNOXVILLE VA MEDICAL CENTER 1557 DOWNTOWN WEST BLVD, KNOXVILLE, TN 37919
(865) 545-4592
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4788
TN
1041S0200X
School Social Worker
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
TEACHER LICENSE
TN
01
—
4788
LICENSED MASTER'S SOCIAL WORKER
TN
Enumeration date
06/24/2009
Last updated
10/18/2023
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