Individual
LAURA G DIMATTEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1120 SILO WAY, KNOXVILLE, TN 37923-1691
(727) 538-4208
(727) 538-4209
Mailing address
1120 SILO WAY, KNOXVILLE, TN 37923-1691
(727) 538-4208
(727) 538-4209
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
117761
MA
1041C0700X
Clinical Social Worker
Primary
6659
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q034244
—
TN
Enumeration date
09/26/2011
Last updated
03/25/2024
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