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Individual

TIMOTHY STEWART CIVIL-SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
108 S 7TH ST, CLARKSVILLE, TN 37040-3418
(931) 419-5843
Mailing address
108 S 7TH ST, CLARKSVILLE, TN 37040-3418
(931) 419-5843

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YM0800X
Mental Health Counselor
Primary
7638
TN

Other

Enumeration date
01/19/2022
Last updated
03/12/2026
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