Kathleen Marie Custard, LMSW | |
2305 N Gateway Ave Unit 2, Harriman, TN 37748-8709 | |
(423) 240-4144 | |
(865) 882-0099 |
Full Name | Kathleen Marie Custard |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2305 N Gateway Ave Unit 2, Harriman, Tennessee |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285331025 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LSW0000008600 (Tennessee) | Primary |
Mailing Address | Practice Location Address |
---|---|
Kathleen Marie Custard, LMSW 2305 N Gateway Ave Unit 2, Harriman, TN 37748-8709 Ph: (423) 240-4144 | Kathleen Marie Custard, LMSW 2305 N Gateway Ave Unit 2, Harriman, TN 37748-8709 Ph: (423) 240-4144 |
Jessica Woodell, PHD Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 307 Devonia St, Harriman, TN 37748 Phone: 865-882-1164 | |
Hope Kicklighter, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2305 N Gateway Ave, Harriman, TN 37748 Phone: 800-805-6989 |