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Individual

JOANNA BETH MANSUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1214 TOPSIDE RD, LOUISVILLE, TN 37777-5505
(865) 919-2154
Mailing address
1214 TOPSIDE RD, LOUISVILLE, TN 37777-5505
(865) 919-2154

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6683
TN

Other

Enumeration date
01/03/2012
Last updated
01/05/2012
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