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Organization

SERENITY WITHIN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMANDA AGUIRRE LCSW (CEO)
(615) 979-0789
Entity
Organization

Contact information

Practice address
1038 BLACK GUM LN, CLARKSVILLE, TN 37043-1440
(615) 979-0789
Mailing address
1038 BLACK GUM LN, CLARKSVILLE, TN 37043-1440
(615) 979-0789

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
254212
SOCIAL WORK
KY
01
6699
SOCIAL WORK
TN
Enumeration date
12/22/2021
Last updated
12/22/2021
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