Individual
MRS. JUDITH ANN CASTAINCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
404 HOLSTON DR, GREENEVILLE, TN 37743-3126
(423) 638-4171
(423) 787-8779
Mailing address
404 HOLSTON DR, GREENEVILLE, TN 37743-3126
(423) 638-4171
(423) 787-8779
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000003225
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3008814
—
TN
Enumeration date
01/22/2007
Last updated
07/08/2007
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