Individual
MS. DONA ELLEN DIFTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSSW, LCSW
Contact information
Practice address
4645 NEWCOM AVE, #139, KNOXVILLE, TN 37919-5131
(865) 588-0488
(865) 673-8059
Mailing address
4645 NEWCOM AVE, #139, KNOXVILLE, TN 37919-5131
(865) 588-0488
(865) 673-8059
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW3117
TN
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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