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Individual

DOROTHY SAXON GREENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
BLDG. 52 LAKE DRIVE, MOUNTAIN HOME, TN 37684-0699
(423) 439-8000
(423) 439-2200
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
(423) 439-8000
(423) 439-2200

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
966
NC
1041C0700X
Clinical Social Worker
Primary
5936
TN
1041C0700X
Clinical Social Worker
C005433
NC

Other

Enumeration date
01/03/2014
Last updated
01/16/2014
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