Individual
DEBRA DIANNE COHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6800 BAUM DR, BLDG. 1, KNOXVILLE, TN 37919-7315
(865) 374-7156
(865) 374-7155
Mailing address
6800 BAUM DR, BLDG. 1, KNOXVILLE, TN 37919-7315
(865) 374-7156
(865) 374-7155
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000003879
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3921244
—
TN
01
—
4039053
BLUE CROSS BLUE SHIELD
—
01
—
4763900000
MAGELLAN
—
Enumeration date
12/07/2005
Last updated
04/11/2008
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