Individual
MS. KATE MARIE GUNDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
15260 SEWANEE HIGHWAY, SEWANEE, TN 37375
(931) 235-4498
(931) 592-3333
Mailing address
P.O. BOX 1316, MONTEAGLE, TN 37356
(931) 235-4498
(931) 592-3333
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5192
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1517087
—
TN
Enumeration date
12/14/2009
Last updated
03/17/2010
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