Individual
MRS. LORI ELLEN GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
CORNER OF SIDNEY AND LAMONT STREET, BUILDING 161, NHCU-2, MOUNTAIN HOME, TN 37684
(423) 926-1171
(423) 979-3437
Mailing address
123 BOB WALKER RD, JONESBOROUGH, TN 37659-4457
(423) 753-3871
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5528
TN
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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