Individual
MISS KATELYN MARY JAKOVENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 WOLVERINE TRL STE 200, SMYRNA, TN 37167-5656
(615) 751-0579
Mailing address
900 AIRWAYS CIR, NASHVILLE, TN 37214-3608
(606) 481-0371
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13570
TN
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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