Individual
STEPHAN IAN BELASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1360 MACKEY BRANCH DR., CHATTANOOGA, TN 37421
(423) 322-2748
Mailing address
1360 MACKEY BRANCH DR, CHATTANOOGA, TN 37421-3225
(423) 443-3336
(423) 464-7510
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8047
TN
Other
Enumeration date
01/11/2020
Last updated
05/23/2024
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