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1447078274
JERRY VAGNIER
MARYVILLE, TN
NPI
1447078274
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TN LSW0000000896)
Enumeration Date
2024-10-01
Last Update Date
2024-10-01
Business Address
JERRY VAGNIER LCSW
1652 E BROADWAY AVE
MARYVILLE, TN 37804-2914
Phone number: 865-637-9711
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Mailing Address
JERRY VAGNIER LCSW
200 TECH CENTER DR
KNOXVILLE, TN 37912-2747
Phone number: 865-637-9711
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