Individual
MRS. BRANDY NICOLE CARRAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2991 FORT HENRY DR, KINGSPORT, TN 37664-4005
(423) 392-2975
(423) 392-2983
Mailing address
2991 FORT HENRY DR, KINGSPORT, TN 37664-4005
(423) 392-2975
(423) 392-2983
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000005602
TN
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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