Individual
MOLLIE CAITLYN WILLOCKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCMA
Contact information
Practice address
301 MCGHEE ST, MARYVILLE, TN 37801-6811
(865) 983-4582
Mailing address
412 LILAC LN, MARYVILLE, TN 37801-8267
(865) 583-9226
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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