Individual
MACKENZIE ELIZABETH BLEAZARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1105 OAK CLUSTER DR, SEVIERVILLE, TN 37862-6079
(865) 637-9711
Mailing address
200 TECH CENTER DR, KNOXVILLE, TN 37912-2747
(205) 570-0147
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
06/01/2023
Last updated
05/29/2024
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