Individual
WIMBERLY BETH THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
307 HIGH ST, MARYVILLE, TN 37804-5847
(865) 804-4189
Mailing address
307 HIGH ST, MARYVILLE, TN 37804-5847
(865) 804-4189
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW3671
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3920217
—
TN
Enumeration date
07/15/2005
Last updated
11/30/2017
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