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1386890366
STEPHANIE DAWN SLACK
KNOXVILLE, TN
NPI
1386890366
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2008-08-11
Last Update Date
2008-08-11
Business Address
-- STEPHANIE DAWN SLACK MSW
2018 WESTERN AVE
KNOXVILLE, TN 37921-5718
Phone number: 865-544-0406
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Mailing Address
-- STEPHANIE DAWN SLACK MSW
DEPT 888182
KNOXVILLE, TN 37995-0001
Phone number: 800-355-3565
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