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1417250655
MICHAEL DAVID DEANTONIO
CHATTANOOGA, TN
NPI
1417250655
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TN 5709)
Enumeration Date
2010-12-09
Last Update Date
2023-09-14
Business Address
Mr. MICHAEL DAVID DEANTONIO LCSW
6401 SHALLOWFORD RD
CHATTANOOGA, TN 37421-5406
Phone number: 423-893-6500
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Mailing Address
Mr. MICHAEL DAVID DEANTONIO LCSW
1208 POINTE CENTRE DR STE 100
CHATTANOOGA, TN 37421-3983
Phone number: 423-893-6500
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