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Individual

MS. ANGELA DIANE MAINORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
1365 MALEY HOLLOW RD, SUITE B, DAYTON, TN 37321-6030
(865) 525-0391
(865) 525-0393
Mailing address
301 S PERIMETER PARK DR STE 210, NASHVILLE, TN 37211-4128

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW0000010301
TN

Other

Enumeration date
08/31/2015
Last updated
08/31/2015
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