# FREDA SHANTA LYNOM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1245513761
- **Gender:** F
- **Credential:** LMSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | 12103 | TN | — |
| 374J00000X | Doula | — | NULL | Yes |

## Other

- **Enumeration date:** 09/21/2011
- **Last updated:** 12/07/2024