Individual
MRS. BRENDA-LEE WILDER DUARTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
294 GAMBLE AVE, MARYVILLE, TN 37801-4943
(865) 981-7400
Mailing address
294 GAMBLE AVE, MARYVILLE, TN 37801-4943
(865) 981-7400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0000000686
TN
Other
Enumeration date
07/08/2006
Last updated
02/26/2010
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