Individual
KIRSTIE LEIGH CAIZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
208 ACORN GAP RD, SWEETWATER, TN 37874-6180
(423) 371-2456
Mailing address
208 ACORN GAP RD, SWEETWATER, TN 37874-6180
(423) 371-2456
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12649
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113276959
DRIVER LICENSE
TN
Enumeration date
03/28/2022
Last updated
03/28/2022
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