Individual
MATTHEW BRADLEY REESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1596 HIGHWAY 33 S, NEW TAZEWELL, TN 37825-7104
(423) 626-2965
(423) 626-2968
Mailing address
6350 W ANDREW JOHNSON HWY DEPT 100, TALBOTT, TN 37877-8605
(800) 355-3565
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW923
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3924910
—
TN
Enumeration date
07/12/2005
Last updated
11/30/2017
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