Individual
VICTORIA PAIGE MINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2151 CENTURY LN, JOHNSON CITY, TN 37604-4469
(423) 926-2500
(423) 926-5999
Mailing address
PO BOX 70403, JOHNSON CITY, TN 37614-1703
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7585
TN
Other
Enumeration date
02/04/2022
Last updated
10/27/2023
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