Individual
MRS. SHANNA MICHELLE LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
8033 RAY MEARS BLVD, KNOXVILLE, TN 37919-5458
(865) 545-4592
(865) 979-3039
Mailing address
8033 RAY MEARS BLVD, KNOXVILLE, TN 37919-5458
(865) 545-4592
(865) 979-3039
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
TN
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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