Individual
JULIA ANN HANNEKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
104 CHADWICK CIR, JOHNSON CITY, TN 37601-1090
(423) 302-8458
Mailing address
104 CHADWICK CIR, JOHNSON CITY, TN 37601-1090
(423) 302-8458
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
008023
TN
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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