Individual
RONALD OWEN DEBORD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1451 DOWELL SPRINGS BLVD, KNOXVILLE, TN 37909-2441
(865) 970-9800
(865) 374-7317
Mailing address
1451 DOWELL SPRINGS BLVD, KNOXVILLE, TN 37909-2441
(865) 970-9800
(865) 374-7317
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW5190
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518354
—
TN
Enumeration date
03/09/2010
Last updated
02/21/2020
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