Charles L Shivley

NPI #1407330244 in Oak Ridge, Tennessee

Provider Information

NPI Number
1407330244
Entity Type
Individual
Name
Charles L Shivley
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Enumeration Date
Sep 18, 2018
Last Updated
Sep 18, 2018

Practice Location

Address
240 W TYRONE RD
ZIP Code
37830-6517
Phone
(865) 482-1076

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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