Individual
MRS. PAIGE PHILP GOODALE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MED LCSW
Contact information
Practice address
9217 PARK WEST BLVD, STE D-2, KNOXVILLE, TN 37923-4404
(865) 690-8702
(865) 690-3697
Mailing address
9217 PARK WEST BLVD, STE D-2, KNOXVILLE, TN 37923-4404
(865) 690-8702
(865) 690-3697
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4478
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3927706
—
TN
Enumeration date
09/14/2005
Last updated
07/08/2007
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