Mamo, Anna

Mamo, Anna is an sole proprietor health care provider with primary practice located at 208 Medical Park Blvd , Bristol TN 37620-7343. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mamo, Anna can be contacted via phone (423) 979-4050.

Contact Information

Primary practice address
208 Medical Park Blvd Bristol TN 37620-7343
Phone: (423) 979-4050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C005938 North Carolina

Profile Details

NPI number 1346649183
LBN Legal business name Mamo, Anna
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2014
Last updated Jan 18th, 2024 - about last year

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 1346649183 NPPES
Tennessee MEDICAID Q083144

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