CHARLES L SHIVLEY

OAK RIDGE, TN
NPI1407330244
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2018-09-18
Last Update Date2018-09-18
Business Address
CHARLES L SHIVLEY
240 W TYRONE RD
OAK RIDGE, TN 37830-6517
Phone number: 865-482-1076
Mailing Address
CHARLES L SHIVLEY
240 W TYRONE RD
OAK RIDGE, TN 37830-6517
Phone number: