Sprague, Kim Marie

Sprague, Kim Marie is an individual health care provider with primary practice located at 100 Adams Ln , Oak Ridge TN 37830-4909. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Sprague, Kim Marie can be contacted via phone (865) 483-7743.

Contact Information

Primary practice address
100 Adams Ln Oak Ridge TN 37830-4909
Phone: (865) 483-7743
Fax: (865) 481-8993
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 7169 Tennessee

Profile Details

NPI number 1336773092
LBN Legal business name Sprague, Kim Marie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2020
Last updated Mar 5th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336773092 NPPES
Tennessee MEDICAID Q056089

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