Individual
SHERREE OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
391 BROAD ST NW # 201, CLEVELAND, TN 37311-5039
(423) 790-3747
Mailing address
391 BROAD ST NW # 201, CLEVELAND, TN 37311-5039
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q022498
—
TN
Enumeration date
05/04/2019
Last updated
05/04/2019
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