Individual
LATISHA STOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4709 PAPERMILL DR, KNOXVILLE, TN 37909-1921
(865) 525-0391
Mailing address
301 S PERIMETER PARK DR, SUITE 210, NASHVILLE, TN 37211-4143
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/04/2015
Last updated
09/04/2015
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