Individual
JENNIFER PASTUSIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
13180 MCGILL RD, SODDY DAISY, TN 37379-7739
(423) 836-6881
Mailing address
13180 MCGILL RD, SODDY DAISY, TN 37379-7739
(423) 836-6881
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LSW0000010342
TN
1041C0700X
Clinical Social Worker
Primary
007238
TN
Other
Enumeration date
05/21/2019
Last updated
06/12/2022
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