Individual
MAUREEN M JETER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6800 BAUM DR, KNOXVILLE, TN 37919
(865) 970-9800
(865) 380-1461
Mailing address
PO BOX 1999, LOUISVILLE, TN 37777
(865) 970-1295
(865) 380-1461
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1226
TN
Other
Enumeration date
03/14/2006
Last updated
07/08/2007
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