Individual
MARLENNY PHOENIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1635 CHESTNUT ST, CHATTANOOGA, TN 37408-1024
(423) 999-9555
Mailing address
301 S PERIMETER PARK DR STE 210, NASHVILLE, TN 37211-4128
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11167
TN
Other
Enumeration date
03/29/2017
Last updated
05/21/2025
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