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1720123987
KIMBERLY STAR TRANTHAM
KINGSPORT, TN
NPI
1720123987
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: TN 4617)
Enumeration Date
2007-02-21
Last Update Date
2007-07-08
Business Address
MRS. KIMBERLY STAR TRANTHAM LCSW
2001 STONEBROOK PL
KINGSPORT, TN 37660-4000
Phone number: 423-224-1000
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Mailing Address
MRS. KIMBERLY STAR TRANTHAM LCSW
PO BOX 9054
GRAY, TN 37615-9054
Phone number: 423-467-3600
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