Individual
REQUITTA H BONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 FOX MEADOWS BLVD STE 105, SEVIERVILLE, TN 37862-6937
(865) 201-8597
Mailing address
1101 FOX MEADOWS BLVD STE 105, SEVIERVILLE, TN 37862-6937
(865) 201-8597
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/03/2020
Last updated
02/03/2020
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