Individual
MR. BENJAMIN LEDWELL MARLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
155 EAGLE CREEK ROAD NW, CLEVELAND, TN 37312
(865) 214-7365
Mailing address
155 EAGLE CREEK ROAD NW, CLEVELAND, TN 37312
(865) 214-7365
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7365
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3273931
—
TN
01
—
LCSW
LCSW
—
Enumeration date
07/10/2020
Last updated
02/06/2023
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