Individual
DAVID MACKEY WAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
1704 E BROADWAY AVE, MARYVILLE, TN 37804-2916
(865) 681-6990
Mailing address
200 TECH CENTER DR, KNOXVILLE, TN 37912-2747
(865) 637-9711
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/05/2018
Last updated
02/11/2025
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