Charlotte Freeman Shores, BSW
Case Manager/Care Coordinator in Erwin, TN. Individual provider (NPI-1).
NPI number1720161409
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1720161409
- Entity type
- Individual (NPI-1)
- Name
- Ms. Charlotte Freeman Shores
- Credential
- BSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 24, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
218 N Main StreetErwin, TN 37650
Phone 423-743-1470 · Fax 423-743-1472
Mailing address
Po Box 9054Gray, TN 37615-9054
Phone 423-467-3600 · Fax 423-467-3696
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