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Provider Information for 1386907079


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MARGUERITE ELKINS MS, LMFT


Sex: Female

NPI: 1386907079
Last Updated: 2017-04-03
Certification Date:

Details

NameValue
NPI1386907079
Enumeration Date2012-06-19
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 497 LOCHMERE DR
MORRISTOWN, TN 37814-2187
United States

Phone: 423-231-9272 | Fax:
 
Primary Practice Address 497 LOCHMERE DR
MORRISTOWN, TN 37814-2187
United States

Phone: 423-231-9272 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 106H00000X - Marriage & Family Therapist TNLMT0000001122