Individual
LYDIA JOY COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3610 DELVERTON WAY, KNOXVILLE, TN 37912-4868
(865) 255-3432
Mailing address
3610 DELVERTON WAY, KNOXVILLE, TN 37912-4868
(865) 255-3432
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
11783
TN
1041C0700X
Clinical Social Worker
Primary
7819
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q070677
—
TN
Enumeration date
07/28/2015
Last updated
05/16/2022
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