Individual
ANNA S VANEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3114 BROWNS MILL RD, JOHNSON CITY, TN 37604-1417
(423) 631-0432
Mailing address
871 VINES FARM LN, JONESBOROUGH, TN 37659-1243
(423) 915-6953
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4484
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4484
STATE LICENSE
TN
Enumeration date
08/23/2013
Last updated
08/06/2021
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