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Individual

MS. DOREEN GEORGINA LEO-HUNEKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.C.S.W.

Contact information

Practice address
1110 HIDE AWAY LN, KODAK, TN 37764-2600
(865) 850-9745
(865) 933-6015
Mailing address
1110 HIDE AWAY LN, KODAK, TN 37764-2600
(865) 850-9745
(865) 933-6015

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4726
TN
1041C0700X
Clinical Social Worker
R052355-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1515256
AMERICA CHOICE (MEDICAID)
TN
05
1515256
TN
01
1881758548
CIGNA
TN
01
188196644
UNITED BEHAVIORAL HEALTH
TN
01
275886000
MAGELLAN
NY
01
336850
VALUE OPTIONS
NY
01
336850
VALUE OPTIONS
TN
01
41363P
HIP
NY
01
4228156
MAGELLAN
TN
01
7480617
GHI
NY
01
7495229
AETNA
TN
01
NY052355
1199 SEIU N.B.F.
NY
01
P2564831
OXFORD INS
NY
Enumeration date
12/20/2006
Last updated
11/03/2011
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