Individual
TANYA SOUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6049 SHALLOWFORD RD, CHATTANOOGA, TN 37421-1688
(423) 763-0101
Mailing address
201 W SPRINGDALE AVE, KNOXVILLE, TN 37917-5158
(865) 637-9711
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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