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Alicia Suzanne Wine

Case Manager/Care Coordinator in Knoxville, TN. Individual provider (NPI-1).

NPI number1144660010
StatusActive
Last updated in NPPESJun 25, 2013

Details

NPI
1144660010
Entity type
Individual (NPI-1)
Name
Alicia Suzanne Wine
Sex
Female
Sole proprietor
No
Enumeration date
Jun 25, 2013
Last updated
Jun 25, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

201 W Springdale Ave
Knoxville, TN 37917-5158

Phone 865-637-9711

Mailing address

201 W Springdale Ave
Knoxville, TN 37917-5158

Phone 865-637-9711

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